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Utah rates for HCPCS 55540

Excision of varicocele or ligation of spermatic veins for varicocele; with hernia repair

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$691.83 / $6,025.60 / $9,332.54
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$501.19 / $660.69 / $1,096.48
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$575.44 / $724.44 / $1,202.26
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.36 / $33.11 / $1,318.26
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,248.07 / $6,165.95 / $15,135.61
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$724.44 / $870.96 / $2,570.40
Select Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$524.81 / $1,023.29 / $1,445.44
U of Utah Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$707.95 / $870.96 / $1,230.27
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,137.96 / $5,128.61 / $8,317.64
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$501.19 / $630.96 / $1,148.15