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Utah rates for HCPCS G2004

Post-d/c h vst new pt 60 m

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$191.71 / $191.71 / $191.71
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$121.28 / $153.90 / $198.42
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$141.06 / $141.06 / $141.06
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$95.87 / $114.49 / $135.16
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$163.38 / $201.35 / $270.73
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$144.19 / $205.60 / $297.38