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Utah rates for HCPCS 53454

Periurethral Tprnl Adjtbl Balo Cntnc Dev Adjmt

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$29.04 / $3,038.00 / $4,387.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$28.25 / $29.04 / $48.17
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$31.04 / $60.93 / $83.47
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
$381.48 / $489.80 / $682.89
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$46.47 / $77.84 / $77.84
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,078.00 / $1,556.00 / $4,495.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.12 / $26.14 / $57.59