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Utah rates for HCPCS 54901

Epididymovasostomy Anast Epididymis Bi

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,415.60 / $4,387.00 / $8,344.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,389.11 / $1,415.60 / $2,115.82
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,267.63 / $1,496.58 / $1,970.67
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$81.79 / $749.41 / $985.85
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
$1,372.03 / $1,591.44 / $1,886.17
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
$1,008.15 / $1,258.44 / $2,266.67