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Utah rates for HCPCS 54390

Plastic Rpr Penis Epispadias W/Exstrophy Bladder

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,643.57 / $3,038.00 / $4,387.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,624.92 / $1,643.57 / $2,482.11
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,488.40 / $1,768.25 / $2,687.08
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$81.79 / $878.61 / $1,205.29
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,607.01 / $1,870.13 / $2,318.63
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
$1,183.38 / $1,294.17 / $2,581.91