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Utah rates for HCPCS 50815

Ureterocolon Conduit Intestine Anastomosis

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,731.35 / $3,038.00 / $4,387.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,563.08 / $1,731.35 / $2,775.79
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,467.04 / $1,744.25 / $2,650.39
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$81.79 / $886.26 / $1,177.80
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,585.68 / $2,372.05 / $2,790.65
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
$1,166.22 / $1,334.30 / $2,622.08