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Utah rates for HCPCS 52001

Cystourethroscopy with irrigation and evacuation of multiple obstructing clots

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$409.44 / $3,038.00 / $4,626.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$339.08 / $455.31 / $647.32
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$359.35 / $490.49 / $729.65
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$303.92 / $360.67 / $483.68
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,086.24 / $6,609.94 / $9,632.58
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$409.52 / $625.91 / $786.88
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,689.00 / $2,312.00 / $4,640.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$385.00 / $465.96 / $856.09