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Utah rates for HCPCS 55200

Vasotomy Cannulization W/Wo Vas Inc Uni/Bi Spx

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$368.32 / $3,038.00 / $4,626.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$368.30 / $553.91 / $612.65
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$359.80 / $479.65 / $673.37
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$27.49 / $276.72 / $378.58
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
$375.89 / $501.73 / $685.71
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
$389.07 / $481.78 / $848.89