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Utah rates for HCPCS 50290

Excision Perinephric Cyst

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,284.56 / $3,038.00 / $4,387.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,150.60 / $1,284.56 / $2,038.33
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,077.22 / $1,283.48 / $1,949.53
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$54.98 / $658.16 / $863.26
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,167.08 / $1,740.68 / $1,992.95
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
$856.02 / $1,038.00 / $1,867.67