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Utah rates for HCPCS 84376

Sugars Mono Di&Oligos 1 Qualitataive Each Spec

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6.97 / $36.52 / $47.88
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.63 / $4.79 / $6.97
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.71 / $4.84 / $15.18
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.43 / $6.20 / $7.74
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.51 / $9.51 / $9.51
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.50 / $6.33 / $24.75
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.21 / $4.61 / $6.38
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.75 / $2.75 / $3.58
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.31 / $3.25 / $3.30