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Utah rates for HCPCS D0190

Screening Of A Patient

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10.00 / $10.00 / $10.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.00 / $12.02 / $15.14
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.20 / $44.67 / $54.95
Select Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.88 / $13.49 / $13.49
U of Utah Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.95 / $23.44 / $25.12