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Utah rates for HCPCS 54304

Penis Corrj Chordee/1st Stage Hypospadias Rpr

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,008.57 / $5,074.37 / $8,267.31
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$828.51 / $1,008.57 / $1,751.60
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$897.54 / $1,069.66 / $1,623.03
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$54.98 / $542.71 / $728.05
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
$972.13 / $1,126.49 / $1,351.14
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,912.00 / $7,693.00 / $13,847.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$713.79 / $974.17 / $1,557.36