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Utah rates for HCPCS 48540

Int Anast Pancreatic Cyst Gi Tract Roux-En-Y

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,710.09 / $3,038.00 / $4,387.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,085.75 / $1,490.74 / $3,752.83
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,292.80 / $1,809.73 / $3,734.14
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$106.21 / $959.91 / $1,280.53
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,705.79 / $2,126.96 / $3,654.34
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
$1,147.30 / $1,565.34 / $2,523.84