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Utah rates for HCPCS 83001

Gonadotropin Follicle Stimulating Hormone

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$50.10 / $96.94 / $161.25
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.01 / $16.59 / $22.30
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$15.89 / $16.34 / $51.21
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.69 / $21.06 / $26.33
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$18.57 / $21.37 / $83.63
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.22 / $15.19 / $21.55
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.80 / $7.80 / $11.15