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Utah rates for HCPCS 50562

Renal endoscopy through established nephrostomy or pyelostomy, with or without irrigation, instillation, or ureteropyelography, exclusive of radiologic service; with resection of tumor

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$831.76 / $3,715.35 / $4,897.79
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$537.03 / $630.96 / $1,318.26
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$676.08 / $794.33 / $1,288.25
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.36 / $33.11 / $3,162.28
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13,803.84 / $16,218.10 / $36,307.81
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$741.31 / $1,288.25 / $3,019.95
Select Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$501.19 / $1,047.13 / $1,513.56
U of Utah Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$741.31 / $912.01 / $1,380.38
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
$549.54 / $691.83 / $1,202.26