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Utah rates for HCPCS 81315

Pml/Raralpha Common Breakpoints Qual/Quant

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$113.20 / $113.20 / $251.45
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$113.20 / $113.20 / $113.20
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$177.20 / $182.25 / $571.21
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$196.59 / $247.23 / $379.23
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$207.31 / $238.41 / $932.92
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$223.72 / $294.04 / $364.77
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$87.07 / $118.79 / $124.39