go back

Utah rates for HCPCS 54690

Laparoscopy Surgical Orchiectomy

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$918.88 / $4,387.00 / $10,458.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$726.64 / $918.88 / $1,311.89
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$786.15 / $982.73 / $1,424.21
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$54.98 / $474.16 / $635.86
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8,370.62 / $10,940.20 / $15,943.01
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$852.89 / $987.56 / $1,342.33
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,028.00 / $9,753.00 / $15,824.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$625.02 / $854.70 / $1,363.69