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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
$66.07 / $380.19 / $724.44
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$74.13 / $87.10 / $120.23
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$87.10 / $87.10 / $87.10
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.20 / $66.07 / $87.10
Select Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$66.07 / $66.07 / $72.44
U of Utah Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$66.07 / $66.07 / $66.07