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Utah rates for HCPCS A4617

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Facilitymedian $1 · 10th–90th $1$10%50%90th$1Professionalmedian $2 · 10th–90th $1$190%10%20%10th90th$2$0.1$0.2$1.0$5.0$20.0

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Small sample — interpret with caution. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1.00 / $1.00 / $1.00
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.00 / $2.00 / $18.62
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.82 / $1.82 / $3.55
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2.19 / $3.16 / $24.55
Regence BlueShield
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2.40 / $3.09 / $3.80
Select Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.80 / $4.37 / $4.47
U of Utah Health Plan
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.72 / $4.47 / $5.37
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1.45 / $1.70 / $2.88
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.45 / $1.82 / $3.31