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Utah rates for HCPCS 50525

Clsr Nephrovisceral Fistula W/Visc Rpr Abdl Appr

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,036.65 / $3,038.00 / $4,387.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,878.42 / $2,036.65 / $3,267.77
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,748.96 / $2,070.60 / $3,198.28
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$89.27 / $971.94 / $1,383.58
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,921.63 / $2,890.30 / $3,400.35
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,292.00 / $4,455.00 / $13,847.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,400.81 / $1,812.80 / $3,084.48