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Utah rates for HCPCS A0425

Ground Mileage

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.86 / $4.86 / $4.86
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.86 / $4.86 / $4.86
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.00 / $15.00 / $15.00
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.83 / $16.30 / $42.24