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Utah rates for HCPCS G0294

Noncovered procedure(s) using either no anesthesia or local anesthesia only, in a Medicare qualifying clinical trial, per day

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,038.00 / $3,977.00 / $5,743.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,843.00 / $2,843.00 / $4,387.00
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$45.00 / $45.00 / $60.00
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$56.00 / $76.04 / $110.81