go back

Utah rates for HCPCS 35870

Repair of graft-enteric fistula

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,137.96 / $3,388.44 / $6,025.60
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,202.26 / $1,412.54 / $2,691.53
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,698.24 / $1,778.28 / $1,995.26
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.36 / $33.11 / $3,801.89
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,584.89 / $2,754.23 / $3,715.35
Select Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,096.48 / $2,884.03 / $3,981.07
U of Utah Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,698.24 / $1,949.84 / $2,884.03
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
$1,230.27 / $1,584.89 / $2,630.27