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Utah rates for HCPCS 51580

Cystectomy, complete, with ureterosigmoidostomy or ureterocutaneous transplantations;

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,691.53 / $3,388.44 / $6,025.60
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,778.28 / $2,041.74 / $4,265.80
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,584.89 / $2,570.40 / $4,073.80
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.36 / $33.11 / $3,388.44
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,454.71 / $4,168.69 / $5,623.41
Select Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,659.59 / $3,467.37 / $3,981.07
U of Utah Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,454.71 / $3,019.95 / $4,365.16
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
$1,819.70 / $2,238.72 / $3,981.07