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Utah rates for HCPCS 54650

Orchiopexy Abdl Approach Intra-Abdominal Testis

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$944.02 / $4,387.00 / $8,344.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$793.16 / $944.02 / $1,423.47
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$851.95 / $1,021.52 / $1,548.90
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$54.98 / $515.91 / $695.70
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,263.30 / $6,648.17 / $9,559.39
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$928.61 / $1,066.60 / $1,281.94
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
$678.15 / $839.20 / $1,479.60