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Utah rates for HCPCS 53425

Urtp 2-Stg Rcnstj/Rpr Prostat/Urethra 2nd Stage

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,333.82 / $3,084.00 / $4,707.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,196.83 / $1,333.82 / $2,125.10
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,123.49 / $1,334.98 / $2,666.03
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$61.01 / $631.16 / $885.42
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
$1,213.20 / $1,722.12 / $2,757.80
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
$892.65 / $1,082.40 / $1,947.59