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Utah rates for HCPCS 84150

Prostaglandin, each

Facilitymedian $170 · 10th–90th $48$8320%20%10th90th$170Professionalmedian $31 · 10th–90th $22$420%20%10th90th$31$10.0$20.0$50.0$100.0$200.0$500.0

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
$83.18 / $169.82 / $831.76
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$22.39 / $30.90 / $38.90
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$35.48 / $43.65 / $114.82
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$15.85 / $19.95 / $60.26
Regence BlueShield
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$47.86 / $47.86 / $169.82
Regence BlueShield
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$28.18 / $35.48 / $37.15
Select Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$29.51 / $41.69 / $131.83
U of Utah Health Plan
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$26.92 / $37.15 / $63.10
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$20.89 / $20.89 / $26.92
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$14.45 / $17.38 / $34.67