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Utah rates for HCPCS 51020

Cystotomy or cystostomy, with fulguration and/or insertion of radioactive material

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$660.69 / $6,025.60 / $8,709.64
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$446.68 / $512.86 / $1,071.52
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$562.34 / $645.65 / $1,023.29
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.36 / $33.11 / $912.01
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,128.61 / $6,025.60 / $13,489.63
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$616.60 / $870.96 / $1,047.13
Select Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$426.58 / $870.96 / $977.24
U of Utah Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$616.60 / $758.58 / $1,047.13
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,995.26 / $5,128.61 / $7,079.46
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$446.68 / $537.03 / $977.24