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Utah rates for HCPCS 54312

Urethroplasty for second stage hypospadias repair (including urinary diversion); greater than 3 cm

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,119.86 / $4,387.00 / $8,133.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$826.01 / $1,119.86 / $1,635.61
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$980.98 / $1,171.05 / $1,776.20
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$54.98 / $608.66 / $795.98
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
$1,063.94 / $1,228.61 / $1,475.35
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,155.00 / $6,097.00 / $8,267.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$780.12 / $962.40 / $1,702.08