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Utah rates for HCPCS 52287

Cystourethroscopy Inj Chemodenervation Bladder

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$226.35 / $3,038.00 / $5,743.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$157.40 / $337.96 / $807.28
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$228.48 / $402.29 / $709.84
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$231.22 / $285.80 / $371.46
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,962.05 / $3,861.91 / $5,627.91
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$241.27 / $389.11 / $645.14
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
$309.06 / $425.48 / $739.44