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Utah rates for HCPCS 70336

Magnetic resonance (eg, proton) imaging, temporomandibular joint(s)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$128.82 / $128.82 / $128.82
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$275.42 / $478.63 / $1,737.80
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$70.79 / $141.25 / $239.88
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$204.17 / $338.84 / $645.65
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$257.04 / $457.09 / $645.65
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$58.88 / $85.11 / $169.82
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$190.55 / $363.08 / $524.81
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.36 / $33.11 / $446.68
Regence BlueShield
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$416.87 / $416.87 / $416.87
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$389.05 / $524.81 / $691.83
Regence BlueShield
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$97.72 / $128.82 / $169.82
Regence BlueShield
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$288.40 / $389.05 / $524.81
Select Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$245.47 / $407.38 / $741.31
Select Health
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$66.07 / $162.18 / $190.55
Select Health
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$181.97 / $245.47 / $389.05
U of Utah Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$97.72 / $316.23 / $512.86
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$269.15 / $331.13 / $645.65
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$60.26 / $64.57 / $125.89
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$204.17 / $251.19 / $501.19