go back

Utah rates for HCPCS 53085

Drg Perineal Urinary Xtrvasation Complic

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$907.52 / $3,038.00 / $4,387.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$837.17 / $907.52 / $1,472.83
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$776.06 / $896.50 / $1,210.68
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$54.98 / $456.95 / $606.14
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,962.05 / $3,861.91 / $5,627.91
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$844.62 / $1,281.26 / $1,466.95
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
$618.09 / $760.80 / $1,348.56