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Utah rates for HCPCS 93455

Catheter placement in coronary artery(s) for coronary angiography, including intraprocedural injection(s) for coronary angiography, imaging supervision and interpretation; with catheter placement(s) in bypass graft(s) (internal mammary, free arterial, venous grafts) including intraprocedural injection(s) for bypass graft angiography

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$354.81 / $354.81 / $354.81
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$794.33 / $1,122.02 / $1,584.89
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,318.26 / $1,479.11 / $1,737.80
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.36 / $501.19 / $2,041.74
Regence BlueShield
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$5,248.07 / $5,248.07 / $5,248.07
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,905.46 / $2,454.71 / $2,754.23
Select Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$933.25 / $1,698.24 / $2,398.83
U of Utah Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$436.52 / $1,096.48 / $1,548.82
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$851.14 / $1,288.25 / $1,548.82