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Utah rates for HCPCS L8514

Tracheo-esophageal puncture dilator, replacement only, each

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$32.36 / $32.36 / $32.36
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.36 / $58.88 / $478.63
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$91.20 / $91.20 / $91.20
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$77.62 / $77.62 / $93.33
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$52.48 / $83.18 / $107.15
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$85.11 / $100.00 / $173.78
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$64.57 / $81.28 / $120.23
Select Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$102.33 / $114.82 / $117.49
U of Utah Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$83.18 / $117.49 / $134.90
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$42.66 / $67.61 / $75.86
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$39.81 / $51.29 / $75.86