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Utah rates for HCPCS G0429

Dermal filler injection(s) for the treatment of facial lipodystrophy syndrome (LDS) (e.g., as a result of highly active antiretroviral therapy)

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$55.81 / $84.67 / $110.37
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$89.28 / $89.28 / $89.28
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$70.11 / $89.98 / $111.24
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$70.31 / $103.07 / $142.01
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$79.69 / $99.53 / $156.06