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Utah rates for HCPCS C1765

Adhesion Barrier

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$362.74 / $557.04 / $8,297.18
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.46 / $86.13 / $557.04
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$217.98 / $217.98 / $217.98
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.00 / $45.00 / $75.00