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Utah rates for HCPCS G0166

External counterpulsation, per treatment session

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$85.11 / $107.15 / $181.97
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$89.13 / $89.13 / $89.13
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.36 / $33.11 / $186.21
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$107.15 / $186.21 / $199.53
Select Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$93.33 / $109.65 / $263.03
U of Utah Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$128.82 / $158.49 / $181.97
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$100.00 / $154.88 / $223.87