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Utah rates for HCPCS 54520

Orchiectomy, simple (including subcapsular), with or without testicular prosthesis, scrotal or inguinal approach

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,019.95 / $5,370.32 / $7,943.28
Aetna
Facility/Professional
Facility
Modifier
50
Low / Median / High Price
$3,890.45 / $4,897.79 / $6,606.93
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,128.61 / $6,025.60 / $13,489.63
Regence BlueShield
Facility/Professional
Facility
Modifier
50
Low / Median / High Price
$7,585.78 / $8,912.51 / $20,417.38
U of Utah Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$416.87 / $512.86 / $724.44
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,137.96 / $5,128.61 / $8,317.64