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Utah rates for HCPCS 89264

Sprm Id From Tstis Tiss Frsh/Cryoprsrvd

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$332.17 / $1,740.57 / $2,282.01
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$283.45 / $299.83 / $381.65
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$45.39 / $45.39 / $45.39
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$109.45 / $109.45 / $136.81
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$82.20 / $103.83 / $149.72