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Utah rates for HCPCS 88377

M/Phmtrc Alys Ish Quant/Semiq Mnl Each Multiprb

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$181.10 / $181.10 / $189.62
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$56.35 / $61.54 / $151.96
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$123.21 / $133.25 / $159.90
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$100.20 / $282.05 / $716.54
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$31.60 / $72.87 / $116.85
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$67.90 / $191.59 / $599.69
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$300.72 / $428.40 / $503.93
Regence BlueShield
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$66.44 / $73.81 / $108.81
Regence BlueShield
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$204.59 / $362.16 / $424.99
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$211.53 / $325.66 / $741.20
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$39.60 / $67.48 / $121.48
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$202.51 / $206.57 / $452.71