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Utah rates for HCPCS 55874

Transperineal Plmt Biodegradable Matrl 1/Mlt Njx

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$222.18 / $3,825.00 / $7,798.58
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$162.44 / $3,699.28 / $5,546.56
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$221.92 / $3,396.38 / $5,163.03
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,826.91 / $2,341.37 / $2,941.22
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,298.64 / $9,810.86 / $14,297.23
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$228.68 / $366.37 / $5,728.69
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,028.00 / $9,753.00 / $15,824.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,873.96 / $4,180.32 / $6,461.68