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Utah rates for HCPCS 57300

Clsr Rectovaginal Fistula Vaginal/Transanal Appr

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$708.79 / $4,387.00 / $8,133.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$645.19 / $708.79 / $1,065.42
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$681.54 / $849.59 / $1,313.14
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$54.98 / $405.23 / $593.68
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,349.00 / $5,927.75 / $8,638.43
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$807.20 / $990.12 / $1,210.68
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
$552.16 / $643.60 / $1,227.59