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Utah rates for HCPCS 50620

Urtrolithotomy Middle One-Third Ureter

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,282.58 / $4,387.00 / $9,078.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,154.34 / $1,282.58 / $2,047.52
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,084.53 / $1,287.57 / $1,956.51
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$54.98 / $667.18 / $869.12
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,170.56 / $1,753.42 / $2,007.52
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
$861.30 / $1,042.80 / $1,879.20