go back

Utah rates for HCPCS 54692

Laparoscopy Orchiopexy Intra-Abdominal Testis

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,016.93 / $4,387.00 / $10,458.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$765.91 / $1,016.93 / $1,512.86
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$909.84 / $1,128.16 / $2,155.00
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$54.98 / $555.03 / $732.71
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
$980.83 / $1,142.26 / $1,850.91
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
$722.70 / $825.33 / $1,576.80