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Utah rates for HCPCS 52265

Cystourethroscopy, with dilation of bladder for interstitial cystitis; local anesthesia

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$562.34 / $3,388.44 / $4,897.79
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$154.88 / $363.08 / $851.14
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$194.98 / $363.08 / $645.65
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.36 / $33.11 / $446.68
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
$234.42 / $380.19 / $776.25
Select Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$169.82 / $363.08 / $977.24
U of Utah Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$218.78 / $467.74 / $707.95
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,096.48 / $2,818.38 / $5,128.61
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$162.18 / $338.84 / $645.65