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Utah rates for HCPCS 53899

Unlisted Procedure Urinary System

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,833.00 / $3,575.72 / $5,743.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$321.47 / $2,843.00 / $2,879.61
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$947.69 / $947.69 / $947.69
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$45.00 / $45.00 / $970.99
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$381.48 / $484.37 / $682.89
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,078.00 / $1,556.00 / $4,495.00