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Utah rates for HCPCS 01922

Anesthesia for non-invasive imaging or radiation therapy

Facilitymedian $832 · 10th–90th $56–$8320%50%10th$832Professionalmedian $603 · 10th–90th $389–$1,5140%10%10th90th$603$50.0$100.0$200.0$500.0$1.0K$2.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$56.23 / $831.76 / $831.76
Aetna
Facility/Professional
Professional
Modifier
AA
Typical Low / Median / Typical High
$263.03 / $1,202.26 / $2,041.74
Aetna
Facility/Professional
Professional
Modifier
QK
Typical Low / Median / Typical High
$426.58 / $562.34 / $741.31
Aetna
Facility/Professional
Professional
Modifier
QX
Typical Low / Median / Typical High
$416.87 / $562.34 / $758.58
Aetna
Facility/Professional
Professional
Modifier
QZ
Typical Low / Median / Typical High
$173.78 / $2,187.76 / $3,090.30
Regence BlueShield
Facility/Professional
Professional
Modifier
QK
Typical Low / Median / Typical High
$229.09 / $275.42 / $354.81
Regence BlueShield
Facility/Professional
Professional
Modifier
QX
Typical Low / Median / Typical High
$229.09 / $275.42 / $354.81
United
Facility/Professional
Professional
Modifier
AA
Typical Low / Median / Typical High
$81.28 / $81.28 / $81.28