go back

Utah rates for HCPCS 36254

Superselective catheter placement (one or more second order or higher renal artery branches) renal artery and any accessory renal artery(s) for renal angiography, including arterial puncture, catheterization, fluoroscopy, contrast injection(s), image postprocessing, permanent recording of images, and radiological supervision and interpretation, including pressure gradient measurements when performed, and flush aortogram when performed; bilateral

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$416.87 / $1,584.89 / $4,466.84
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$501.19 / $1,023.29 / $3,981.07
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.36 / $33.11 / $1,202.26
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$537.03 / $1,230.27 / $4,570.88
Select Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$758.58 / $1,819.70 / $4,786.30
U of Utah Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$562.34 / $2,691.53 / $4,365.16
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$416.87 / $1,698.24 / $3,467.37