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Utah rates for HCPCS 57155

Insertion Uterine Tandem&/Vaginal Ovoids

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$232.76 / $3,038.00 / $4,626.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$232.76 / $363.22 / $687.94
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$351.75 / $522.94 / $654.16
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$278.72 / $341.23 / $447.58
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,294.75 / $9,430.81 / $13,743.39
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$410.01 / $556.82 / $771.94
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,106.00 / $1,649.00 / $9,026.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$337.90 / $521.97 / $784.81