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Utah rates for HCPCS 46753

Graft Thiersch Rct Incontinence &/Prolapse

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$755.63 / $4,312.00 / $8,133.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$574.76 / $755.63 / $1,789.14
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$579.74 / $837.72 / $1,281.24
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$56.28 / $453.19 / $604.57
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,041.47 / $5,323.73 / $7,758.20
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$814.17 / $997.24 / $1,231.15
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,981.00 / $3,613.00 / $7,048.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$549.63 / $815.88 / $1,331.07