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Utah rates for HCPCS C9250

Human Plasma Fibrin Sealant Vapor-Heated Solvent Detergent (Artiss) 2 Ml

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$183.16 / $183.16 / $183.16
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$178.74 / $183.16 / $189.78
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$161.40 / $161.40 / $187.57
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$187.57 / $187.57 / $187.57
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.00 / $30.00 / $75.00
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$224.06 / $297.37 / $401.10
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$138.31 / $143.84 / $171.50