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Utah rates for HCPCS 57289

Pereyra Px W/Anterior Colporrhaphy

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$947.07 / $4,387.00 / $9,078.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$934.62 / $947.07 / $1,385.73
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$934.51 / $1,103.58 / $1,490.68
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$81.79 / $562.53 / $756.03
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11,230.43 / $14,327.60 / $20,879.41
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,043.06 / $1,277.56 / $1,510.18
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,155.00 / $6,097.00 / $8,267.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$736.40 / $815.40 / $1,630.80