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Utah rates for HCPCS 50630

Ureterolithotomy; lower one-third of ureter

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,257.24 / $4,387.00 / $9,078.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,140.39 / $1,257.24 / $2,023.40
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,070.76 / $1,272.20 / $1,933.80
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$54.98 / $658.16 / $863.26
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,157.07 / $1,731.41 / $1,982.34
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
$850.41 / $930.03 / $1,855.44