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Utah rates for HCPCS 19112

Excision Lactiferous Duct Fistula

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$312.39 / $3,294.00 / $7,568.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$312.39 / $449.60 / $637.46
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$355.26 / $513.32 / $774.76
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$29.46 / $269.91 / $421.60
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,302.41 / $7,227.26 / $10,532.19
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$474.80 / $638.58 / $831.90
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
$417.32 / $570.67 / $979.38