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Utah rates for HCPCS 46753

Graft (Thiersch operation) for rectal incontinence and/or prolapse

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$758.58 / $5,888.44 / $8,511.38
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$549.54 / $660.69 / $1,621.81
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$457.09 / $776.25 / $1,318.26
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.36 / $33.11 / $1,318.26
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,073.80 / $4,786.30 / $10,964.78
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$812.83 / $977.24 / $1,258.93
Select Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$588.84 / $1,148.15 / $1,548.82
U of Utah Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$741.31 / $912.01 / $1,288.25
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,995.26 / $5,128.61 / $7,079.46
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$524.81 / $676.08 / $1,047.13