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Utah rates for HCPCS 53405

Urethroplasty 2nd Stage W/Urinary Diversion

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,241.82 / $3,084.00 / $4,707.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,118.63 / $1,241.82 / $1,980.47
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,047.19 / $1,247.78 / $1,893.44
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$54.98 / $644.14 / $857.69
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,298.64 / $9,810.86 / $14,297.23
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,133.57 / $1,691.80 / $1,990.35
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,155.00 / $6,097.00 / $8,267.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$832.26 / $1,057.88 / $1,815.84