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Utah rates for HCPCS 57150

Irrigation of vagina and/or application of medicament for treatment of bacterial, parasitic, or fungoid disease

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$38.02 / $38.02 / $60.26
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$23.99 / $48.98 / $81.28
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.36 / $53.70 / $107.15
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.36 / $33.11 / $100.00
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$91.20 / $107.15 / $245.47
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$37.15 / $64.57 / $95.50
Select Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$26.92 / $56.23 / $109.65
U of Utah Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$33.11 / $74.13 / $109.65
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,071.52 / $4,466.84 / $5,128.61
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$27.54 / $50.12 / $85.11