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Utah rates for HCPCS 54900

Epididymovasostomy Anast Epididymis Uni

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,019.02 / $4,387.00 / $8,344.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,019.02 / $1,019.02 / $1,600.83
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$959.82 / $1,128.65 / $1,493.19
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$54.98 / $578.07 / $763.50
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,962.05 / $3,861.91 / $5,627.91
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,040.45 / $1,206.38 / $1,380.60
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
$670.77 / $832.68 / $1,665.36