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Utah rates for HCPCS 50405

Pyeloplasty Complicated

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,979.59 / $3,038.00 / $4,387.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,425.30 / $1,979.59 / $3,161.95
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,674.38 / $1,983.38 / $3,016.07
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$81.79 / $1,028.48 / $1,343.41
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,802.83 / $2,710.80 / $3,189.18
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,155.00 / $6,097.00 / $8,267.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,330.23 / $1,688.53 / $2,990.82