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Utah rates for HCPCS 96573

Pdt Dstr Prmlg Les Skn Illum/Activj By Phys/Qhp

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$212.85 / $212.85 / $264.11
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$195.53 / $220.94 / $318.85
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$209.90 / $250.11 / $409.45
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$135.80 / $173.89 / $231.14
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$297.07 / $379.59 / $553.17
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$245.65 / $268.26 / $294.63
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$658.00 / $4,445.00 / $4,912.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$163.43 / $217.08 / $307.52