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Utah rates for HCPCS 48552

Backbench reconstruction of cadaver donor pancreas allograft prior to transplantation, venous anastomosis, each

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$316.23 / $3,388.44 / $6,025.60
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$208.93 / $251.19 / $616.60
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$234.42 / $323.59 / $512.86
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.36 / $33.11 / $512.86
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$302.00 / $389.05 / $501.19
Select Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$204.17 / $426.58 / $602.56
U of Utah Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$288.40 / $346.74 / $512.86
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
$204.17 / $263.03 / $416.87