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Utah rates for HCPCS 19105

Ablation, cryosurgical, of fibroadenoma, including ultrasound guidance, each fibroadenoma

Facilitymedian $5,495 · 10th–90th $2,089–$9,1200%10%10th90th$5,495Professionalmedian $1,862 · 10th–90th $191–$3,8020%10%10th90th$1,862$50.0$200.0$1.0K$5.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2,089.30 / $4,570.88 / $8,709.64
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$190.55 / $1,862.09 / $3,801.89
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$251.19 / $2,344.23 / $4,073.80
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$32.36 / $33.11 / $416.87
Regence BlueShield
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$5,495.41 / $7,585.78 / $11,481.54
Regence BlueShield
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$302.00 / $416.87 / $3,801.89
Select Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$239.88 / $2,398.83 / $4,466.84
U of Utah Health Plan
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$288.40 / $2,951.21 / $4,466.84
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,202.26 / $5,128.61 / $8,317.64
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$204.17 / $1,949.84 / $4,570.88