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Utah rates for HCPCS 0042T

Cerebral perfusion analysis using computed tomography with contrast administration, including post-processing of parametric maps with determination of cerebral blood flow, cerebral blood volume, and mean transit time

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$264.86 / $298.58 / $315.18
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$45.00 / $45.00 / $284.05
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$146.84 / $180.20 / $522.03
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$304.10 / $333.95 / $648.48