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Utah rates for HCPCS 54328

1 Stage Dstl Hypospadias Rpr W/Extensive Dsj

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,255.31 / $4,387.00 / $8,133.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,230.00 / $1,255.31 / $1,872.22
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,125.05 / $1,336.12 / $2,029.88
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
$1,214.94 / $1,413.13 / $1,696.25
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
$893.97 / $1,105.59 / $2,009.96