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Utah rates for HCPCS 55870

Electroejaculation

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$234.42 / $3,162.28 / $4,570.88
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$141.25 / $181.97 / $346.74
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$165.96 / $218.78 / $316.23
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.36 / $33.11 / $251.19
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,047.13 / $1,230.27 / $2,951.21
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$199.53 / $251.19 / $309.03
Select Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$151.36 / $269.15 / $446.68
U of Utah Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$177.83 / $239.88 / $354.81
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
$141.25 / $181.97 / $309.03