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Utah rates for HCPCS 0714T

Transperineal laser ablation of benign prostatic hyperplasia, including imaging guidance; prostate volume less than 50 mL

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,254.27 / $3,084.00 / $4,707.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,179.18 / $1,254.27 / $1,334.90
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.00 / $45.00 / $60.00
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,298.64 / $9,810.86 / $14,297.23
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,378.38 / $1,621.62 / $1,629.57
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,981.00 / $3,613.00 / $7,048.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,328.25 / $1,610.00 / $2,898.01