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Utah rates for HCPCS 52250

Cystourethroscopy Insj Radioact Sbst W/Wobx/Fulg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$346.17 / $4,387.00 / $8,344.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$302.04 / $346.17 / $539.15
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$287.95 / $344.11 / $513.67
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$164.87 / $191.85 / $249.41
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
$306.77 / $467.47 / $549.96
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,981.00 / $3,613.00 / $9,026.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$227.70 / $294.08 / $496.80