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Utah rates for HCPCS 52301

Cysto W/Resecj Ectopic Ureterocele Uni/Bi

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$417.68 / $4,387.00 / $8,133.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$366.16 / $417.68 / $653.13
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$347.80 / $416.01 / $623.25
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$213.38 / $246.92 / $320.89
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,086.24 / $6,609.94 / $9,632.58
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$372.05 / $565.70 / $665.53
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,981.00 / $3,613.00 / $7,048.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$275.55 / $336.01 / $601.20