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Utah rates for HCPCS L8514

Tracheoesophageal Puncture Dilator Replacement Only Each

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$32.76 / $32.76 / $32.76
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.76 / $35.99 / $320.56
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$90.38 / $90.38 / $90.38
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$76.81 / $90.38 / $132.00
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$52.28 / $84.02 / $109.22
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.77 / $112.39 / $112.39
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$64.00 / $80.56 / $120.84
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$42.28 / $50.74 / $72.79