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Utah rates for HCPCS G0068

Professional services for the administration of anti-infective, pain management, chelation, pulmonary hypertension, inotropic, or other intravenous infusion drug or biological (excluding chemotherapy or other highly complex drug or biological) for each infusion drug administration calendar day in the individual's home, each 15 min

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$173.78 / $173.78 / $173.78
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$117.49 / $173.78 / $213.80
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$181.97 / $213.80 / $309.03
U of Utah Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$204.17 / $251.19 / $251.19
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$138.04 / $173.78 / $223.87