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Utah rates for HCPCS 50250

Open Ablation Renal Mass Cryosurg Ultrasound

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,734.06 / $4,387.00 / $9,932.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,553.01 / $1,734.06 / $2,758.34
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,459.49 / $1,723.43 / $2,262.59
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$81.79 / $871.24 / $1,172.94
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,574.37 / $2,361.11 / $2,703.30
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
$1,159.61 / $1,324.77 / $2,530.08