go back

Utah rates for HCPCS 37790

Penile Venous Occlusive Procedure

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$714.78 / $4,387.00 / $8,133.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$714.78 / $714.78 / $1,483.44
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$629.57 / $695.51 / $818.37
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$33.25 / $357.85 / $473.35
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,086.24 / $6,609.94 / $9,632.58
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$632.71 / $976.30 / $1,194.33
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,155.00 / $6,097.00 / $8,267.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$462.99 / $563.20 / $1,010.17