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Utah rates for HCPCS 45800

Closure Rectovesical Fistula

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,598.50 / $3,038.00 / $4,387.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,007.10 / $1,307.83 / $3,653.11
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,224.46 / $1,738.75 / $2,599.56
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$90.48 / $825.07 / $1,195.36
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,660.10 / $2,020.66 / $2,595.48
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
$1,108.49 / $1,441.04 / $2,248.35