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Adhesion Barrier

Utah rates for HCPCS C1765

Adhesion barrier

Rates data updated July 2026.

Facilitymedian $562 · 10th–90th $324$8,3180%20%40%10th90th$562Professionalmedian $3 · 10th–90th $3$5620%50%90th$3$5.0$20.0$100.0$500.0$2.0K$10.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$323.59
Median
$562.34
Typical High
$8,317.64
Aetna
Setting
Professional
Modifier
Global
Typical Low
$3.47
Median
$3.47
Typical High
$562.34
Molina
Setting
Professional
Modifier
Global
Typical Low
$30.20
Median
$44.67
Typical High
$75.86
Select Health
Setting
Facility
Modifier
Global
Typical Low
$5,011.87
Median
$5,011.87
Typical High
$5,011.87
Select Health
Setting
Professional
Modifier
Global
Typical Low
$5,011.87
Median
$5,011.87
Typical High
$5,128.61