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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
$3,162.28 / $6,456.54 / $11,220.18
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$851.14 / $1,122.02 / $2,818.38
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$776.25 / $1,288.25 / $2,041.74
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.36 / $33.11 / $1,819.70
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,128.61 / $6,025.60 / $13,489.63
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,230.27 / $1,445.44 / $5,888.44
Select Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$831.76 / $1,737.80 / $1,995.26
U of Utah Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,174.90 / $1,445.44 / $2,089.30
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,137.96 / $5,128.61 / $8,317.64
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$891.25 / $1,122.02 / $1,949.84