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Utah rates for HCPCS 90937

Hemodialysis procedure requiring repeated evaluation(s) with or without substantial revision of dialysis prescription

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$124.42 / $124.42 / $124.42
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$93.19 / $106.33 / $143.15
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,478.00 / $1,478.00 / $1,863.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$100.11 / $143.93 / $206.67
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$72.17 / $94.06 / $114.31
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$104.10 / $153.66 / $200.89
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$89.60 / $112.86 / $176.28