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Utah rates for HCPCS 50526

Clsr Nephrovisceral Fistula W/Visc Rpr Thrc Appr

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,952.63 / $3,038.00 / $4,387.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,952.63 / $1,952.63 / $3,498.98
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,816.91 / $2,178.03 / $2,943.80
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$105.90 / $1,139.20 / $1,516.92
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,056.94 / $2,789.11 / $3,193.32
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
$1,423.91 / $1,711.21 / $3,306.97