go back

Utah rates for HCPCS E1355

Stand/Rack (Special Coverage Instructions Apply. See Cim: 60-4)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.25 / $2.25 / $19.27
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.25 / $18.02 / $33.15
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$18.96 / $18.96 / $18.96
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.12 / $16.12 / $34.50
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.29 / $21.85 / $35.00
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$26.11 / $29.12 / $29.12
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.57 / $20.87 / $29.82
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.90 / $12.64 / $21.04