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Utah rates for HCPCS 50065

Nephrolithotomy Secondary Surg Operj Calculus

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,704.93 / $3,038.00 / $4,387.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,539.41 / $1,704.93 / $2,738.64
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,450.97 / $1,718.04 / $2,612.36
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$81.79 / $862.00 / $1,148.43
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,561.75 / $2,348.12 / $2,762.49
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
$1,152.03 / $1,397.60 / $2,513.52