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Utah rates for HCPCS 90863

Pharmacologic Management W/Psychotherapy

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$46.35 / $46.35 / $46.35
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.98 / $25.31 / $46.35
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.00 / $32.94 / $53.72
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.21 / $30.00 / $117.29
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$24.13 / $31.38 / $38.90
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$22.04 / $27.36 / $40.54