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Utah rates for HCPCS A9604

Sm 153 Lexidronam

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$16,217.75 / $16,217.75 / $16,217.75
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16,217.75 / $16,217.75 / $16,217.75
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16,608.54 / $16,608.54 / $16,608.54
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$45.00 / $45.00 / $14,010.46
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$27,957.51 / $34,864.90 / $50,053.57
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18,562.49 / $22,872.70 / $24,075.55
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16,282.88 / $16,282.88 / $16,282.88