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Utah rates for HCPCS 53621

Dilat Urethral Strix Filiform & Follwr Male Sbsq

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$102.16 / $2,910.00 / $4,387.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$90.89 / $148.53 / $214.29
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$93.22 / $145.94 / $258.91
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$91.72 / $115.00 / $148.82
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$381.48 / $484.37 / $682.89
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$102.99 / $163.44 / $235.95
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
$116.96 / $146.90 / $295.31