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Utah rates for HCPCS 96542

Chemotx Njx Subarachnd/Intraventr Rsvr 1/Mult

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$54.75 / $155.50 / $537.91
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$40.93 / $118.38 / $221.21
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$51.82 / $147.76 / $238.06
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$92.16 / $115.00 / $148.82
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$427.47 / $642.13 / $935.77
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$52.58 / $127.45 / $209.17
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$115.32 / $150.47 / $219.47