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Utah rates for HCPCS 88104

Cytp Flu Washgs/Brushings Xcpt C/V Smrs Interpj

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$56.82 / $56.82 / $57.09
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$23.48 / $24.44 / $24.44
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$32.38 / $32.38 / $33.59
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$28.62 / $72.28 / $138.40
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$13.39 / $34.03 / $50.35
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$15.23 / $42.25 / $88.06
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$78.80 / $90.57 / $106.06
Regence BlueShield
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$28.73 / $31.92 / $43.36
Regence BlueShield
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$47.20 / $58.65 / $62.70
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$41.79 / $69.65 / $125.37
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$16.45 / $29.23 / $52.61
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$24.25 / $40.42 / $73.39