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Utah rates for HCPCS 82642

Dihydrotestosterone (DHT)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$54.95 / $60.26 / $158.49
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.05 / $25.12 / $28.18
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$25.12 / $25.70 / $81.28
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.13 / $39.81 / $45.71
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$29.51 / $97.72 / $154.88
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.95 / $25.12 / $26.30
Select Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$20.42 / $29.51 / $93.33
U of Utah Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$23.44 / $25.70 / $43.65
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$14.79 / $14.79 / $19.05
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.30 / $13.80 / $26.30