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Utah rates for HCPCS 50081

Perq Nl/Pl Lithotrp Complex >2 Cm Mlt Locations

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,815.87 / $6,935.00 / $15,192.95
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13,653.00 / $17,467.05 / $25,454.49
Regence BlueShield
Facility/Professional
Facility
Modifier
50
Low / Median / High Price
$20,479.50 / $26,200.58 / $38,181.74
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,912.00 / $7,693.00 / $13,847.00