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Utah rates for HCPCS 54437

Repair of traumatic corporeal tear(s)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$905.38 / $3,084.00 / $4,707.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$895.77 / $905.38 / $1,353.50
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$806.30 / $965.56 / $1,476.18
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$54.98 / $490.34 / $666.66
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
$885.97 / $1,023.62 / $1,216.75
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,981.00 / $3,613.00 / $7,048.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$642.51 / $783.20 / $1,401.83