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Utah rates for HCPCS 80377

Drug(s) or substance(s), definitive, qualitative or quantitative, not otherwise specified; 7 or more

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$194.98 / $213.80 / $239.88
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$51.29 / $52.48 / $120.23
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.12 / $32.36 / $37.15
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.50 / $26.30 / $43.65
Select Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$173.78 / $173.78 / $213.80
U of Utah Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$23.99 / $28.18 / $30.90
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12.02 / $12.02 / $15.49
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.55 / $10.23 / $14.45