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Utah rates for HCPCS 49999

Unlisted Procedure Abdomen Peritoneum & Omentum

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$998.64 / $3,294.00 / $9,961.12
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.81 / $1,600.98 / $2,003.55
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.00 / $45.00 / $60.00
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,338.59 / $1,718.74 / $2,504.69
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,689.00 / $2,312.00 / $4,640.00