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Utah rates for HCPCS 88249

Chrmsm Breakage Synds Score 100 Cll

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$219.33 / $1,149.29 / $1,506.80
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$219.33 / $219.33 / $219.33
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$148.02 / $152.22 / $477.14
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$109.08 / $206.54 / $332.70
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$173.17 / $199.15 / $779.30
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$186.73 / $245.63 / $304.45
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$103.90 / $147.16 / $288.93