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Utah rates for HCPCS 45126

Pelvic exenteration for colorectal malignancy, with proctectomy (with or without colostomy), with removal of bladder and ureteral transplantations, and/or hysterectomy, or cervicectomy, with or without removal of tube(s), with or without removal of ovary(s), or any combination thereof

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,162.28 / $3,890.45 / $6,025.60
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,511.89 / $2,884.03 / $7,943.28
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$776.25 / $3,630.78 / $5,754.40
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.36 / $33.11 / $60.26
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,548.13 / $4,466.84 / $6,025.60
Select Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,398.83 / $5,623.41 / $7,943.28
U of Utah Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,311.31 / $3,981.07 / $5,495.41
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
$2,398.83 / $3,090.30 / $5,011.87