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Utah rates for HCPCS 50540

Symphysiotomy Horseshoe Kdn W/Wo Plop Uni/Bi

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,612.91 / $3,038.00 / $4,387.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,461.61 / $1,612.91 / $2,599.65
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,377.38 / $1,631.57 / $2,481.53
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$81.79 / $835.84 / $1,114.46
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,483.87 / $2,226.21 / $2,619.07
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
$1,093.29 / $1,448.91 / $2,458.10