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Utah rates for HCPCS 52275

Cystourethroscopy, with internal urethrotomy; male

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$724.44 / $3,388.44 / $4,897.79
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$239.88 / $524.81 / $812.83
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$295.12 / $501.19 / $912.01
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.36 / $33.11 / $1,258.93
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
$354.81 / $707.95 / $1,096.48
Select Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$263.03 / $537.03 / $1,380.38
U of Utah Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$338.84 / $691.83 / $1,122.02
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
$245.47 / $478.63 / $891.25