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Utah rates for HCPCS 99190

Assembly and operation of pump with oxygenator or heat exchanger (with or without ECG and/or pressure monitoring); each hour

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$451.20 / $578.77 / $578.77
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$587.35 / $647.23 / $793.07
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$45.00 / $518.29 / $778.72
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$495.34 / $550.38 / $622.85
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$402.60 / $494.01 / $736.14