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Utah rates for HCPCS 52315

Cysto W/Complex Removal Stone & Stent

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$391.21 / $3,038.00 / $4,626.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$281.19 / $449.89 / $849.86
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$353.70 / $523.66 / $796.13
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$324.93 / $389.26 / $499.61
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
$391.15 / $612.69 / $866.44
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
$421.82 / $515.55 / $985.32