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Utah rates for HCPCS 54385

Plastic Penis Epispadias Dstl Sphnctr W/Incont

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,318.15 / $4,387.00 / $8,133.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,223.49 / $1,318.15 / $1,861.09
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,113.91 / $1,394.97 / $2,019.18
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
$3,143.87 / $3,920.13 / $5,627.91
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,209.29 / $1,560.14 / $1,789.60
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
$885.71 / $1,019.66 / $1,932.47