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Utah rates for HCPCS 50575

Rnl Ndsc Nfrot/Plot W/Endopyelotomy

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,022.56 / $3,038.00 / $4,387.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$732.45 / $1,022.56 / $1,611.79
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$857.53 / $1,021.68 / $1,530.94
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$497.93 / $576.17 / $749.02
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,298.64 / $9,810.86 / $14,297.23
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$912.51 / $1,397.61 / $1,644.25
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,912.00 / $7,693.00 / $13,847.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$681.12 / $767.84 / $1,486.08