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Utah rates for HCPCS 51925

Clsr Vesicouterine Fistula W/Hysterectomy

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,485.02 / $3,038.00 / $4,387.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,394.91 / $1,485.02 / $2,451.51
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,266.00 / $1,496.67 / $2,017.11
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$61.01 / $728.82 / $1,036.09
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,410.76 / $2,086.32 / $2,454.48
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
$1,014.09 / $1,234.33 / $2,212.55