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Utah rates for HCPCS 49600

Rpr Small Omphalocele W/Primary Closure

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$961.33 / $4,312.00 / $8,344.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$680.90 / $961.33 / $2,115.17
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$723.97 / $1,018.32 / $1,509.64
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$56.28 / $533.86 / $728.83
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,263.30 / $6,648.17 / $9,559.39
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$965.16 / $1,179.88 / $1,568.07
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,155.00 / $6,097.00 / $8,267.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$641.09 / $828.80 / $1,494.42