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Utah rates for HCPCS 52330

Cystourethroscopy (including ureteral catheterization); with manipulation, without removal of ureteral calculus

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$912.01 / $2,884.03 / $4,570.88
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$251.19 / $588.84 / $912.01
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$316.23 / $537.03 / $1,023.29
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.36 / $33.11 / $1,288.25
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,128.61 / $6,025.60 / $13,489.63
Regence BlueShield
Facility/Professional
Facility
Modifier
50
Low / Median / High Price
$7,585.78 / $8,912.51 / $20,417.38
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$371.54 / $602.56 / $1,071.52
Select Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$275.42 / $602.56 / $1,548.82
U of Utah Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$354.81 / $794.33 / $1,230.27
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 / $512.86 / $1,000.00