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Utah rates for HCPCS 57292

Construction Artificial Vagina W/Graft

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,070.49 / $4,387.00 / $8,344.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$850.65 / $1,070.49 / $1,445.02
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$977.38 / $1,202.30 / $1,809.81
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$81.79 / $564.70 / $791.77
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
$1,086.57 / $1,418.32 / $1,792.02
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
$789.69 / $920.97 / $1,775.49