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Utah rates for HCPCS 39540

Repair, diaphragmatic hernia (other than neonatal), traumatic; acute

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$891.25 / $3,388.44 / $6,025.60
U of Utah Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,096.48 / $1,348.96 / $1,905.46
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,290.87 / $5,128.61 / $13,803.84