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Utah rates for HCPCS 54326

1-Stage Distal Hypospadias Repair (With Or Without Chordee Or Circumcision); With Urethroplasty By Local Skin Flaps And Mobilization Of Urethra

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,247.60 / $6,213.00 / $11,181.56
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,237.53 / $1,247.60 / $5,902.80
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,132.59 / $1,344.83 / $2,043.07
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$81.79 / $671.63 / $891.34
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
$1,222.78 / $1,422.60 / $1,707.94
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
$899.91 / $1,092.80 / $1,963.43