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Utah rates for HCPCS 87625

Iadna Human Papillomavirus Types 16 & 18 Only

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$33.83 / $177.27 / $373.38
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$33.83 / $33.83 / $39.64
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$34.65 / $35.65 / $111.74
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$20.88 / $43.40 / $74.29
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$40.54 / $46.63 / $164.23
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$39.18 / $43.81 / $49.19
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$17.03 / $20.05 / $24.33