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Utah rates for HCPCS 54162

Lysis/Excision Penile Postcircumcision Adhesions

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$264.27 / $2,356.00 / $4,387.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$224.16 / $308.81 / $682.83
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$257.67 / $335.49 / $477.91
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$148.97 / $186.41 / $234.47
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,962.05 / $3,861.91 / $5,627.91
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$291.07 / $369.57 / $465.45
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$871.00 / $4,455.00 / $7,048.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$243.87 / $337.52 / $532.08