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Utah rates for HCPCS 90997

Hemoperfusion

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$104.00 / $104.00 / $104.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$79.39 / $91.11 / $123.23
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$84.57 / $119.28 / $180.00
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$72.17 / $94.06 / $113.84
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$89.62 / $135.97 / $173.41
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$76.80 / $99.18 / $151.04