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Utah rates for HCPCS 83864

Mucopolysaccharides Acid Quantitative

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$25.22 / $93.37 / $173.26
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$17.96 / $22.52 / $32.78
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$24.37 / $25.06 / $78.55
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.47 / $32.63 / $40.78
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$28.50 / $32.78 / $115.43
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.82 / $23.33 / $32.72
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.84 / $11.97 / $17.10