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Utah rates for HCPCS G0288

Reconstruction, computed tomographic angiography of aorta for surgical planning for vascular surgery

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$28.84 / $37.15 / $104.71
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$41.69 / $41.69 / $338.84
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.36 / $33.11 / $60.26
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$41.69 / $50.12 / $64.57
Select Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$41.69 / $74.13 / $85.11
U of Utah Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$61.66 / $72.44 / $104.71
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$35.48 / $45.71 / $204.17