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Utah rates for HCPCS 51610

Injection procedure for retrograde urethrocystography

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$151.36 / $234.42 / $4,570.88
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$61.66 / $131.83 / $288.40
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$75.86 / $131.83 / $229.09
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.36 / $33.11 / $112.20
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$83.18 / $158.49 / $229.09
Select Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$107.15 / $131.83 / $239.88
U of Utah Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$85.11 / $173.78 / $251.19
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,071.52 / $4,466.84 / $5,128.61
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$63.10 / $112.20 / $190.55