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Utah rates for HCPCS 57109

Vagnc Prtl Rmvl Vag Wall W/Bi Tot Pel Lmphadec

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,085.07 / $3,038.00 / $4,387.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,019.71 / $2,085.07 / $2,999.94
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,037.92 / $2,389.71 / $3,820.72
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$163.78 / $1,043.58 / $1,584.78
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,349.00 / $5,927.75 / $8,638.43
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,273.66 / $2,968.86 / $3,894.16
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,981.00 / $3,613.00 / $7,048.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,618.40 / $2,024.01 / $3,552.48