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Utah rates for HCPCS 50740

Ureteropyelostomy Anast Ureter Renal Pelvis

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,666.94 / $3,038.00 / $4,387.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,566.23 / $1,666.94 / $2,721.08
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,457.01 / $1,749.08 / $2,666.06
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$81.79 / $897.58 / $1,179.06
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,602.66 / $2,394.19 / $2,816.69
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,292.00 / $4,455.00 / $13,847.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,176.45 / $1,606.03 / $2,566.79