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Utah rates for HCPCS 52285

Cystourethroscopy for treatment of the female urethral syndrome with any or all of the following: urethral meatotomy, urethral dilation, internal urethrotomy, lysis of urethrovaginal septal fibrosis, lateral incisions of the bladder neck, and fulguration of polyp(s) of urethra, bladder neck, and/or trigone

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$278.54 / $3,038.00 / $4,626.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$248.25 / $396.01 / $469.47
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$244.74 / $365.42 / $575.80
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$255.40 / $304.39 / $388.86
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$951.73 / $1,295.21 / $1,887.49
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$280.43 / $449.43 / $585.89
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,689.00 / $2,312.00 / $4,640.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$287.37 / $339.83 / $667.44