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Utah rates for HCPCS 0075T

Transcatheter placement of extracranial vertebral artery stent(s), including radiologic supervision and interpretation, open or percutaneous; initial vessel

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,454.71 / $3,388.44 / $6,025.60
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$707.95 / $1,202.26 / $2,454.71
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.36 / $44.67 / $6,025.60
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,122.02 / $3,311.31 / $3,548.13
Select Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5,754.40 / $5,754.40 / $5,754.40
U of Utah Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$407.38 / $1,000.00 / $1,659.59
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,290.87 / $5,128.61 / $13,803.84
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,122.02 / $1,380.38 / $2,290.87