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Utah rates for HCPCS C2615

Sealant, pulmonary, liquid

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$659.93 / $659.93 / $659.93
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$239.37 / $239.37 / $659.93
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.00 / $45.00 / $75.00