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Utah rates for HCPCS 52305

Cystourethroscopy; with incision or resection of orifice of bladder diverticulum, single or multiple

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$398.11 / $3,715.35 / $4,897.79
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$257.04 / $302.00 / $630.96
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$288.40 / $380.19 / $602.56
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.36 / $33.11 / $707.95
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,244.36 / $8,511.38 / $19,952.62
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$354.81 / $524.81 / $616.60
Select Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$239.88 / $562.34 / $831.76
U of Utah Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$354.81 / $436.52 / $602.56
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
$263.03 / $331.13 / $575.44