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Utah rates for HCPCS 70470

Computed tomography, head or brain; without contrast material, followed by contrast material(s) and further sections

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$70.79 / $70.79 / $70.79
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$169.82 / $316.23 / $1,071.52
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$54.95 / $85.11 / $186.21
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$112.20 / $218.78 / $389.05
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$169.82 / $309.03 / $416.87
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$51.29 / $72.44 / $128.82
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$109.65 / $213.80 / $331.13
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.36 / $33.11 / $275.42
Regence BlueShield
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$323.59 / $323.59 / $323.59
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$251.19 / $338.84 / $436.52
Regence BlueShield
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$83.18 / $112.20 / $144.54
Regence BlueShield
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$165.96 / $223.87 / $295.12
Select Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$165.96 / $269.15 / $380.19
Select Health
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$57.54 / $123.03 / $147.91
Select Health
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$107.15 / $144.54 / $229.09
U of Utah Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$85.11 / $181.97 / $346.74
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$165.96 / $213.80 / $398.11
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$51.29 / $54.95 / $107.15
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$109.65 / $141.25 / $288.40