go back

Utah rates for HCPCS 50120

Pyelotomy W/Exploration

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,341.38 / $3,038.00 / $4,387.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,212.96 / $1,341.38 / $2,152.83
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,138.78 / $1,329.07 / $1,768.47
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$61.01 / $646.34 / $888.81
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,231.04 / $1,840.00 / $2,106.65
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
$904.53 / $1,114.00 / $1,973.53