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Utah rates for HCPCS 54420

Corpora Cavernosa-Saphenous Vein Shunt Uni/Bi

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$945.29 / $4,387.00 / $8,344.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$927.39 / $945.29 / $1,405.85
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$843.30 / $992.52 / $1,312.31
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$54.98 / $507.57 / $668.01
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
$914.69 / $1,056.83 / $1,236.54
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
$629.73 / $769.67 / $1,463.76