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Utah rates for HCPCS 57291

Construction Artificial Vagina W/O Graft

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$766.50 / $3,977.00 / $9,078.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$649.52 / $766.50 / $958.61
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$649.07 / $811.06 / $1,202.58
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$54.98 / $374.47 / $505.25
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
$724.09 / $917.03 / $1,341.83
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
$517.44 / $599.08 / $1,128.95