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Utah rates for HCPCS 39503

Rpr Neonatal Diphrg Hernia W/Wo Chest Tube Insj

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,038.00 / $4,387.00 / $6,200.10
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5,233.56 / $6,200.10 / $7,290.95
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6,879.13 / $8,439.02 / $12,456.43
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$351.43 / $3,815.25 / $5,421.20
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7,441.07 / $11,111.15 / $14,020.05
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,312.00 / $2,446.00 / $13,847.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5,369.18 / $6,261.38 / $12,470.41