go back

Utah rates for HCPCS 99155

Mod Sed Other Phys/Qhp Initial 15 Mins <5 Yrs

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$110.80 / $110.80 / $110.80
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$84.35 / $110.80 / $172.34
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$97.10 / $123.87 / $154.91
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$49.68 / $64.69 / $80.86
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$79.70 / $104.12 / $139.81
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$84.16 / $125.87 / $179.84