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Utah rates for HCPCS 70355

Orthopantogram

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$11.64 / $11.64 / $11.64
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.67 / $23.34 / $42.65
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$8.75 / $10.70 / $22.86
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$6.93 / $11.48 / $15.53
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$22.04 / $27.32 / $39.45
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$10.72 / $13.77 / $21.21
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$9.86 / $12.27 / $21.46
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.80 / $18.89 / $38.03
Regence BlueShield
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$147.24 / $147.24 / $147.24
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$27.26 / $32.90 / $41.83
Regence BlueShield
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$14.37 / $18.01 / $24.06
Regence BlueShield
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$12.89 / $15.04 / $19.10
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.48 / $21.44 / $35.39
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$9.85 / $10.83 / $17.87
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$8.66 / $10.54 / $17.28