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Utah rates for HCPCS 50435

Exchange nephrostomy catheter, percutaneous, including diagnostic nephrostogram and/or ureterogram when performed, imaging guidance (eg, ultrasound and/or fluoroscopy) and all associated radiological supervision and interpretation

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$575.44 / $3,162.28 / $5,754.40
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$95.50 / $478.63 / $1,479.11
Aetna
Facility/Professional
Professional
Modifier
50
Low / Median / High Price
$120.23 / $138.04 / $4,677.35
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$120.23 / $436.52 / $1,000.00
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.36 / $33.11 / $416.87
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,951.21 / $3,467.37 / $7,943.28
Regence BlueShield
Facility/Professional
Facility
Modifier
50
Low / Median / High Price
$4,466.84 / $5,248.07 / $11,748.98
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$141.25 / $234.42 / $1,023.29
Select Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$104.71 / $537.03 / $1,380.38
U of Utah Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$134.90 / $758.58 / $1,096.48
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,096.48 / $2,818.38 / $5,128.61
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$100.00 / $398.11 / $851.14