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Utah rates for HCPCS 54380

Plastic Rpr Penis Epispadias Dstl Sphnctr

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,074.07 / $4,387.00 / $8,133.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,051.73 / $1,074.07 / $1,598.38
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$958.18 / $1,143.49 / $1,734.84
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$54.98 / $581.16 / $763.63
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,962.05 / $3,861.91 / $5,627.91
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,039.14 / $1,200.47 / $1,441.05
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
$761.97 / $874.40 / $1,662.48