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Utah rates for HCPCS 55000

Puncture aspiration of hydrocele, tunica vaginalis, with or without injection of medication

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$112.20 / $3,388.44 / $4,570.88
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$81.28 / $120.23 / $257.04
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$100.00 / $141.25 / $199.53
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.36 / $33.11 / $165.96
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,023.29 / $1,202.26 / $2,754.23
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$117.49 / $151.36 / $204.17
Select Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$89.13 / $162.18 / $302.00
U of Utah Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$112.20 / $158.49 / $234.42
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,096.48 / $2,818.38 / $5,128.61
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$85.11 / $123.03 / $208.93