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Utah rates for HCPCS 53080

Drg Perineal Urinary Xtrvasation Uncomp Spx

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$604.26 / $4,387.00 / $8,133.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$544.60 / $604.26 / $952.99
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$500.68 / $597.77 / $788.06
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$42.05 / $329.96 / $419.79
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$951.73 / $1,295.21 / $1,887.49
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$550.90 / $808.21 / $925.33
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,981.00 / $3,613.00 / $7,048.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$399.63 / $437.05 / $871.93