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Utah rates for HCPCS 93295

Interrogation device evaluation(s) (remote), up to 90 days; single, dual, or multiple lead implantable defibrillator system with interim analysis, review(s) and report(s) by a physician or other qualified health care professional

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$79.56 / $79.56 / $79.56
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$29.39 / $64.67 / $195.50
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$42.36 / $86.27 / $125.89
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$24.93 / $32.34 / $43.66
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$58.43 / $111.53 / $173.38
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.70 / $55.59 / $94.51