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Utah rates for HCPCS 52260

Cystourethroscopy, with dilation of bladder for interstitial cystitis; general or conduction (spinal) anesthesia

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,454.71 / $3,981.07 / $5,248.07
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$194.98 / $257.04 / $1,096.48
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$245.47 / $288.40 / $457.09
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.36 / $33.11 / $575.44
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,951.21 / $3,467.37 / $7,943.28
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$269.15 / $398.11 / $724.44
Select Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$181.97 / $426.58 / $630.96
U of Utah Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$269.15 / $331.13 / $457.09
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,698.24 / $4,466.84 / $5,128.61
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$199.53 / $245.47 / $436.52