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Utah rates for HCPCS 52318

Litholapaxy Comp/Lg > 2.5 Cm

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$676.49 / $3,534.00 / $5,743.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$453.78 / $676.49 / $1,068.18
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$568.58 / $676.21 / $1,017.20
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$331.80 / $385.63 / $499.61
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
$606.60 / $924.24 / $1,087.33
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
$450.78 / $548.40 / $983.51