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Utah rates for HCPCS 84437

Thyroxine; requiring elution (eg, neonatal)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.94 / $43.65 / $57.54
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.98 / $5.01 / $7.94
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.50 / $5.75 / $17.78
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.07 / $7.41 / $12.59
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.91 / $8.91 / $11.22
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6.46 / $23.44 / $33.88
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.37 / $5.50 / $5.75
Select Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.57 / $6.46 / $20.42
U of Utah Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.75 / $6.46 / $9.77
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.24 / $3.24 / $4.17
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.69 / $3.80 / $8.91