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Utah rates for HCPCS 54220

Irrigation Corpora Cavernosa Priapism

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$180.62 / $2,910.00 / $4,387.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$151.22 / $231.98 / $303.16
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$172.86 / $258.10 / $364.10
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$138.47 / $170.63 / $221.89
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
$183.68 / $291.99 / $328.19
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
$200.31 / $267.42 / $450.36