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Utah rates for HCPCS 51040

Cystostomy, cystotomy with drainage

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,162.28 / $5,370.32 / $7,943.28
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,951.21 / $3,467.37 / $7,943.28
U of Utah Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$380.19 / $467.74 / $645.65
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,995.26 / $5,128.61 / $7,079.46