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Utah rates for HCPCS 50690

Njx Visualization Ileal Conduit&/Ureteropyelog

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$98.04 / $2,164.00 / $4,387.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$68.65 / $106.44 / $272.14
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$85.59 / $124.03 / $212.07
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$69.52 / $87.41 / $115.88
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$97.57 / $154.47 / $206.51
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,078.00 / $1,556.00 / $4,495.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$100.37 / $123.64 / $199.62