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Utah rates for HCPCS 53855

Insertion of a temporary prostatic urethral stent, including urethral measurement

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$77.62 / $575.44 / $1,071.52
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$100.00 / $645.65 / $1,202.26
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.36 / $33.11 / $147.91
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$117.49 / $190.55 / $1,584.89
Select Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$87.10 / $616.60 / $1,445.44
U of Utah Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$109.65 / $831.76 / $1,318.26
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$81.28 / $537.03 / $1,230.27