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Utah rates for HCPCS 84275

Sialic acid

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$17.02 / $89.18 / $116.93
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.94 / $11.42 / $17.02
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11.49 / $11.82 / $37.04
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.41 / $15.69 / $19.62
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13.44 / $15.46 / $60.47
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.29 / $10.85 / $15.56
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.64 / $7.94 / $8.06