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Utah rates for HCPCS 84439

Thyroxine; free

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$38.90 / $57.54 / $97.72
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.03 / $7.94 / $10.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.76 / $7.94 / $25.12
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.62 / $12.30 / $17.38
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.00 / $10.00 / $15.49
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9.12 / $33.11 / $47.86
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.17 / $7.59 / $8.13
Select Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.31 / $9.12 / $10.00
U of Utah Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.94 / $9.12 / $16.60
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.47 / $4.47 / $5.89
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.80 / $5.37 / $12.59