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Utah rates for HCPCS E1353

Regulator (Special Coverage Instructions Apply. See Cim: 60-4 And Mcm: 4107.9)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.53 / $1.53 / $28.29
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.53 / $23.91 / $44.01
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$25.17 / $25.17 / $29.37
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.39 / $21.39 / $29.37
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$17.97 / $28.99 / $39.00
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$34.65 / $38.64 / $38.64
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$22.01 / $27.70 / $39.57
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.06 / $16.78 / $27.94