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Utah rates for HCPCS 50125

Pyelotomy W/Drainage Pyelostomy

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,424.90 / $3,038.00 / $4,387.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,255.30 / $1,424.90 / $2,228.58
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,177.84 / $1,399.88 / $2,128.60
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$61.01 / $673.83 / $921.16
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,273.68 / $1,904.23 / $2,180.19
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
$935.55 / $1,186.81 / $2,041.20