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Utah rates for HCPCS 49465

Contrast Injection Perq Radiologic Eval Gi Tube

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$42.23 / $833.22 / $3,825.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.55 / $89.93 / $231.86
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$36.76 / $81.87 / $279.07
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$90.34 / $113.46 / $148.82
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$378.22 / $471.61 / $677.06
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$42.50 / $85.28 / $284.37
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,078.00 / $1,556.00 / $4,495.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$143.22 / $177.48 / $307.80