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Utah rates for HCPCS 54840

Excision of spermatocele, with or without epididymectomy

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,162.28 / $6,025.60 / $8,511.38
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,951.21 / $3,467.37 / $7,943.28
Regence BlueShield
Facility/Professional
Facility
Modifier
50
Low / Median / High Price
$4,466.84 / $5,248.07 / $11,748.98
U of Utah Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$407.38 / $501.19 / $707.95
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,995.26 / $5,128.61 / $7,079.46