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Utah rates for HCPCS 53453

Periurethral Tprnl Adjtbl Balo Cntnc Dev Rmvl Ea

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$845.14 / $3,084.00 / $4,707.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$821.68 / $845.14 / $1,399.34
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$212.30 / $718.94 / $906.04
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.00 / $45.00 / $60.00
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,086.24 / $6,609.94 / $9,632.58
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$256.74 / $285.27 / $971.01
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
$540.85 / $848.20 / $1,383.74