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Utah rates for HCPCS A2005

Miscellaneous M <46.50 And A <77.50., Without Comorbidities

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$135.83 / $135.83 / $135.83
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$135.83 / $153.68 / $369.15
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$216.38 / $216.38 / $216.38
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.00 / $45.00 / $60.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$254.57 / $254.57 / $254.57