go back

Utah rates for HCPCS 50557

Renal Ndsc Nephros/Pyelostomy Fulg&/Inc W/Wo Bi

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$494.06 / $2,910.00 / $4,387.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$435.71 / $549.27 / $779.56
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$434.27 / $558.12 / $707.41
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$305.55 / $358.85 / $459.08
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13,653.00 / $17,467.05 / $25,454.49
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$492.20 / $714.06 / $895.93
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,981.00 / $3,613.00 / $7,048.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$398.64 / $483.21 / $869.76