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Utah rates for HCPCS 51580

Cystectomy W/Ureterosigmoidostomy W/Nodes

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,696.27 / $3,038.00 / $4,387.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,411.75 / $2,696.27 / $4,296.74
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,274.52 / $2,680.89 / $4,259.76
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$116.01 / $1,268.30 / $1,772.62
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,446.42 / $3,494.82 / $4,219.85
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
$1,807.08 / $2,451.56 / $4,062.95