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Utah rates for HCPCS 59025

Fetal non-stress test

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$33.88 / $97.72 / $97.72
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$42.66 / $64.57 / $245.47
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$26.92 / $51.29 / $144.54
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$40.74 / $64.57 / $102.33
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$33.88 / $40.74 / $63.10
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.88 / $33.11 / $60.26
Regence BlueShield
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$309.03 / $309.03 / $309.03
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$33.88 / $74.13 / $91.20
Regence BlueShield
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$38.02 / $50.12 / $58.88
Select Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$47.86 / $75.86 / $97.72
Select Health
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$28.18 / $45.71 / $61.66
U of Utah Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$25.12 / $44.67 / $87.10
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$44.67 / $54.95 / $97.72
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$27.54 / $35.48 / $53.70