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Utah rates for HCPCS 49606

Rpr Lg Omphalocele/Gastroschisis Rmvl Prosth

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,495.34 / $3,038.00 / $4,387.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,046.40 / $1,495.34 / $3,258.75
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,118.58 / $1,571.22 / $2,354.30
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$82.48 / $807.67 / $1,085.16
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,483.87 / $1,871.20 / $2,446.03
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
$1,021.59 / $1,364.65 / $2,184.61