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Utah rates for HCPCS 95721

Eeg Complete Std Phys/Qhp>36 Hr<60 Hr W/O Video

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$243.65 / $243.65 / $248.36
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$185.11 / $207.66 / $248.36
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$244.31 / $298.83 / $468.82
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$143.23 / $187.02 / $232.57
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$233.33 / $303.47 / $387.59
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$187.24 / $271.24 / $380.13