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Utah rates for HCPCS 50783

Ureteroneocystostomy W/Ureteral Tailoring

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,614.57 / $3,038.00 / $4,387.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,164.83 / $1,614.57 / $2,554.44
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,353.24 / $1,603.54 / $2,438.42
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$81.79 / $829.51 / $1,082.89
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,458.19 / $2,187.73 / $2,573.80
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
$1,074.15 / $1,433.08 / $2,343.61