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Utah rates for HCPCS 50695

Plmt Urtrl Stent Prq New Access W/Sep Nfros Cath

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$511.29 / $3,294.00 / $7,568.00
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,086.24 / $6,609.94 / $9,632.58
Regence BlueShield
Facility/Professional
Facility
Modifier
50
Low / Median / High Price
$7,629.36 / $9,914.91 / $14,448.87
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,155.00 / $6,097.00 / $8,267.00