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Utah rates for HCPCS 52351

Cystourethroscopy, with ureteroscopy and/or pyeloscopy; diagnostic

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,778.28 / $3,162.28 / $7,762.47
Aetna
Facility/Professional
Facility
Modifier
50
Low / Median / High Price
$1,584.89 / $1,584.89 / $6,606.93
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$281.84 / $380.19 / $724.44
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$288.40 / $426.58 / $645.65
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.36 / $33.11 / $831.76
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,128.61 / $6,025.60 / $13,489.63
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$389.05 / $575.44 / $1,513.56
Select Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$263.03 / $616.60 / $891.25
U of Utah Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$389.05 / $478.63 / $660.69
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
$288.40 / $371.54 / $630.96