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Utah rates for HCPCS 52356

Cysto/Uretero W/Lithotripsy &Indwell Stent Insrt

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,832.11 / $7,245.00 / $13,852.42
Aetna
Facility/Professional
Facility
Modifier
50
Low / Median / High Price
$5,787.07 / $7,556.79 / $9,521.12
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$389.05 / $802.20 / $1,203.30
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$499.39 / $584.58 / $892.85
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$284.78 / $329.35 / $428.12
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,298.64 / $9,810.86 / $14,297.23
Regence BlueShield
Facility/Professional
Facility
Modifier
50
Low / Median / High Price
$10,947.96 / $14,716.29 / $21,445.85
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$532.62 / $811.96 / $929.62
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,912.00 / $7,693.00 / $13,847.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$395.34 / $533.75 / $862.55