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Utah rates for HCPCS 90912

Biofeedback training, perineal muscles, anorectal or urethral sphincter, including EMG and/or manometry, when performed; initial 15 minutes of one-on-one physician or other qualified health care professional contact with the patient

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$52.48 / $52.48 / $91.20
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$38.90 / $70.79 / $109.65
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$50.12 / $85.11 / $138.04
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.36 / $33.11 / $60.26
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$47.86 / $79.43 / $120.23
Select Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$44.67 / $79.43 / $100.00
U of Utah Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$47.86 / $102.33 / $158.49
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$40.74 / $69.18 / $114.82