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Utah rates for HCPCS 49605

Rpr Lg Omphalocele/Gastroschisis W/Wo Prosth

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,294.00 / $6,602.82 / $8,344.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,387.00 / $6,583.45 / $14,059.64
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,138.27 / $6,854.01 / $10,301.08
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$353.13 / $3,205.77 / $4,622.76
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6,381.91 / $8,196.75 / $10,714.70
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
$4,394.96 / $5,929.01 / $9,544.26