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Utah rates for HCPCS 55300

Vasotomy Vasograms Uni/Bi

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$244.77 / $3,064.00 / $4,707.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$169.69 / $244.77 / $979.27
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$219.18 / $256.02 / $390.69
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$142.30 / $178.54 / $228.62
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$239.77 / $282.49 / $312.97
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,078.00 / $1,556.00 / $4,495.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$173.76 / $213.84 / $328.81