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Utah rates for HCPCS Q2004

Bladder Calculi Irrig Sol

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.79 / $100.79 / $100.79
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$100.79 / $100.79 / $100.79
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$214.50 / $296.77 / $426.07
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$96.13 / $101.19 / $101.19