go back

Utah rates for HCPCS 52330

Cysto Manj W/O Rmvl Ureteral Stone

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$376.38 / $2,744.00 / $4,387.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$311.38 / $609.05 / $906.12
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$356.89 / $637.10 / $1,102.29
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$415.47 / $503.64 / $663.51
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,086.24 / $6,609.94 / $9,632.58
Regence BlueShield
Facility/Professional
Facility
Modifier
50
Low / Median / High Price
$7,629.36 / $9,914.91 / $14,448.87
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$375.20 / $605.34 / $1,021.64
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
$513.98 / $598.37 / $1,230.17