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Utah rates for HCPCS 52250

Cystourethroscopy with insertion of radioactive substance, with or without biopsy or fulguration

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$346.74 / $6,025.60 / $8,709.64
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$223.87 / $263.03 / $537.03
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$281.84 / $323.59 / $512.86
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.36 / $33.11 / $660.69
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
$309.03 / $457.09 / $1,096.48
Select Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$208.93 / $489.78 / $707.95
U of Utah Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$309.03 / $380.19 / $524.81
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,995.26 / $5,128.61 / $9,120.11
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$229.09 / $281.84 / $501.19