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Utah rates for HCPCS 36222

Selective catheter placement, common carotid or innominate artery, unilateral, any approach, with angiography of the ipsilateral extracranial carotid circulation and all associated radiological supervision and interpretation, includes angiography of the cervicocerebral arch, when performed

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$428.77 / $2,356.00 / $4,626.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$301.98 / $1,310.25 / $1,979.43
Aetna
Facility/Professional
Professional
Modifier
50
Low / Median / High Price
$655.16 / $655.16 / $655.16
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$356.94 / $710.91 / $2,223.10
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$800.26 / $976.48 / $1,280.41
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,735.70 / $6,043.65 / $8,807.33
Regence BlueShield
Facility/Professional
Facility
Modifier
50
Low / Median / High Price
$7,103.55 / $9,065.48 / $13,211.00
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$402.34 / $791.16 / $2,591.67
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,155.00 / $6,097.00 / $8,267.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,208.70 / $1,599.76 / $2,559.61