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Utah rates for HCPCS 83864

Mucopolysaccharides, acid, quantitative

Facilitymedian $85 · 10th–90th $25–$1780%20%10th90th$85Professionalmedian $22 · 10th–90th $17–$300%20%10th90th$22$10.0$20.0$50.0$100.0

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$25.12 / $85.11 / $177.83
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$16.98 / $21.88 / $30.20
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$24.55 / $29.51 / $79.43
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$12.59 / $13.49 / $40.74
Regence BlueShield
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$33.11 / $33.11 / $114.82
Regence BlueShield
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$19.50 / $23.99 / $25.70
Select Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$19.95 / $28.18 / $89.13
U of Utah Health Plan
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$21.38 / $25.12 / $42.66
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$14.13 / $14.13 / $18.62
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$11.48 / $12.02 / $27.54