go back

Utah rates for HCPCS 42550

Injection procedure for sialography

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$181.97 / $3,162.28 / $4,570.88
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$58.88 / $151.36 / $354.81
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$74.13 / $151.36 / $281.84
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.36 / $33.11 / $134.90
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$81.28 / $177.83 / $275.42
Select Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$100.00 / $154.88 / $302.00
U of Utah Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$75.86 / $194.98 / $309.03
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,071.52 / $4,466.84 / $5,128.61
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$60.26 / $131.83 / $223.87