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Utah rates for HCPCS 51940

Closure Exstrophy Bladder

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,293.73 / $3,038.00 / $4,387.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,087.08 / $2,293.73 / $3,720.15
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,969.12 / $2,328.87 / $3,543.84
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$89.27 / $1,086.91 / $1,575.75
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,117.44 / $3,170.25 / $3,729.70
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
$1,564.20 / $1,860.13 / $3,412.81