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Utah rates for HCPCS 53515

Urtorr Sutr Urethral Wnd/Inj Prostatomembranous

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,125.80 / $3,084.00 / $4,707.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,019.50 / $1,125.80 / $1,805.12
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$953.99 / $1,114.55 / $1,483.10
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$54.98 / $586.70 / $763.63
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
$1,033.05 / $1,539.76 / $1,762.91
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,202.00 / $4,912.00 / $8,267.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$758.34 / $869.28 / $1,654.56