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Utah rates for HCPCS 90791

Psychiatric diagnostic evaluation

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$138.04 / $194.98 / $295.12
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$109.65 / $151.36 / $309.03
Aetna
Facility/Professional
Professional
Modifier
25
Low / Median / High Price
$676.08 / $676.08 / $676.08
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$75.86 / $134.90 / $218.78
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.36 / $33.11 / $204.17
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$134.90 / $169.82 / $213.80
Select Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$158.49 / $186.21 / $218.78
U of Utah Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$144.54 / $199.53 / $346.74
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$112.20 / $151.36 / $223.87