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Utah rates for HCPCS 50688

Chng Urtrost Tube/Xtrnlly Accessible Stent Ileal

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$112.13 / $3,038.00 / $4,387.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$99.93 / $112.13 / $174.06
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$94.73 / $109.62 / $143.53
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$47.18 / $57.64 / $71.77
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,962.05 / $3,861.91 / $5,627.91
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$100.52 / $154.71 / $177.13
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,689.00 / $2,312.00 / $4,640.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$73.92 / $91.61 / $161.28