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Utah rates for HCPCS G0463

Hospital Outpatient Clinic Visit For Assessment And Management Of A Patient

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$74.02 / $389.77 / $721.78
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$74.02 / $87.35 / $127.27
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$87.12 / $87.12 / $87.12
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.00 / $60.00 / $86.72