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Utah rates for HCPCS 54861

Epididymectomy Bilateral

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$753.83 / $4,387.00 / $8,344.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$572.97 / $753.83 / $1,136.73
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$678.46 / $816.57 / $1,237.93
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$54.98 / $420.52 / $545.31
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,086.24 / $6,609.94 / $9,632.58
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$742.80 / $847.93 / $989.70
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,981.00 / $3,613.00 / $7,048.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$540.54 / $715.88 / $1,215.33