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Utah rates for HCPCS 54000

Slitting Prepuce Dorsal/Lateral Spx Newborn

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$142.27 / $3,038.00 / $4,626.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$142.27 / $180.36 / $226.50
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$138.60 / $192.14 / $269.52
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$100.12 / $127.13 / $166.84
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
$145.77 / $191.13 / $238.85
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
$148.05 / $182.17 / $333.13