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Utah rates for HCPCS 51797

Voiding pressure studies, intra-abdominal (ie, rectal, gastric, intraperitoneal) (List separately in addition to code for primary procedure)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$204.17 / $3,019.95 / $4,570.88
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$57.54 / $57.54 / $57.54
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$134.90 / $194.98 / $446.68
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$37.15 / $48.98 / $208.93
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$87.10 / $151.36 / $281.84
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$134.90 / $190.55 / $398.11
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$46.77 / $56.23 / $85.11
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$87.10 / $144.54 / $269.15
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.36 / $33.11 / $234.42
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$186.21 / $239.88 / $457.09
Regence BlueShield
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$51.29 / $74.13 / $194.98
Regence BlueShield
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$117.49 / $144.54 / $245.47
Select Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$147.91 / $295.12 / $323.59
Select Health
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$38.90 / $72.44 / $85.11
Select Health
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$109.65 / $199.53 / $234.42
U of Utah Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$58.88 / $199.53 / $302.00
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
$134.90 / $169.82 / $331.13
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$38.02 / $50.12 / $81.28
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$89.13 / $125.89 / $251.19