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Utah rates for HCPCS 55801

Prostatectomy Perineal Subtotal

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,456.61 / $3,038.00 / $4,387.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,435.80 / $1,456.61 / $2,188.34
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,312.72 / $1,530.55 / $2,038.96
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$81.79 / $802.18 / $1,050.54
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,419.46 / $1,643.87 / $1,922.60
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,312.00 / $2,446.00 / $13,847.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$980.21 / $1,422.45 / $2,346.06