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Utah rates for HCPCS 57296

Revj W/Rmvl Prosthetic Vaginal Graft Abdml Appr

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,238.26 / $3,038.00 / $4,387.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,112.88 / $1,238.26 / $1,671.29
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,131.73 / $1,388.21 / $2,093.58
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$81.79 / $651.29 / $915.34
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,255.83 / $1,629.34 / $2,087.19
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,312.00 / $2,446.00 / $13,847.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$875.71 / $1,056.75 / $1,972.81