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Utah rates for HCPCS 52276

Cystourethroscopy with direct vision internal urethrotomy

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,511.89 / $6,025.60 / $8,912.51
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$245.47 / $281.84 / $870.96
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$288.40 / $363.08 / $562.34
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.36 / $33.11 / $724.44
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
$338.84 / $501.19 / $1,318.26
Select Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$229.09 / $537.03 / $776.25
U of Utah Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$338.84 / $416.87 / $575.44
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
$251.19 / $323.59 / $549.54