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Utah rates for HCPCS 51565

Cystectomy, partial, with reimplantation of ureter(s) into bladder (ureteroneocystostomy)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,819.70 / $3,388.44 / $6,025.60
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,202.26 / $1,380.38 / $2,951.21
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,071.52 / $1,778.28 / $2,818.38
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.36 / $33.11 / $2,511.89
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,659.59 / $2,454.71 / $6,606.93
Select Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,122.02 / $2,344.23 / $2,754.23
U of Utah Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,659.59 / $2,041.74 / $2,818.38
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,290.87 / $5,128.61 / $13,803.84
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,230.27 / $1,513.56 / $2,691.53