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Utah rates for HCPCS 87903

Nfct Phexyp Resist Tiss Cul Hiv First 1-10 Drugs

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$356.28 / $1,866.91 / $2,447.64
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$356.28 / $356.28 / $356.28
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$417.68 / $429.59 / $1,346.43
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$307.60 / $582.82 / $938.11
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$488.66 / $561.96 / $2,198.94
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$399.00 / $502.19 / $585.73
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$205.24 / $293.20 / $299.64