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Utah rates for HCPCS 52214

Cystourethroscopy, with fulguration (including cryosurgery or laser surgery) of trigone, bladder neck, prostatic fossa, urethra, or periurethral glands

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$851.14 / $3,162.28 / $4,786.30
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$169.82 / $660.69 / $1,412.54
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$208.93 / $537.03 / $1,288.25
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.36 / $33.11 / $1,318.26
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,128.61 / $6,025.60 / $13,489.63
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$251.19 / $977.24 / $1,380.38
Select Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$186.21 / $691.83 / $1,862.09
U of Utah Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$239.88 / $977.24 / $1,380.38
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,995.26 / $5,128.61 / $7,079.46
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$173.78 / $524.81 / $1,230.27