go back

Utah rates for HCPCS 01922

Anes Non-Invasive Imaging/Radiation Therapy

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$56.00 / $56.00 / $799.52
Aetna
Facility/Professional
Professional
Modifier
AA
Low / Median / High Price
$262.00 / $1,237.33 / $1,808.42
Regence BlueShield
Facility/Professional
Professional
Modifier
QK
Low / Median / High Price
$231.34 / $276.27 / $320.52
Regence BlueShield
Facility/Professional
Professional
Modifier
QX
Low / Median / High Price
$231.34 / $276.27 / $320.52