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Utah rates for HCPCS 70481

Computed tomography, orbit, sella, or posterior fossa or outer, middle, or inner ear; with contrast material(s)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$75.86 / $75.86 / $75.86
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$169.82 / $316.23 / $537.03
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$52.48 / $100.00 / $234.42
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$123.03 / $218.78 / $446.68
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$173.78 / $338.84 / $524.81
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$47.86 / $75.86 / $125.89
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$123.03 / $239.88 / $389.05
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
$323.59 / $323.59 / $323.59
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$263.03 / $346.74 / $616.60
Regence BlueShield
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$74.13 / $97.72 / $154.88
Regence BlueShield
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$186.21 / $251.19 / $457.09
Select Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$169.82 / $275.42 / $416.87
Select Health
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$51.29 / $109.65 / $138.04
Select Health
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$120.23 / $162.18 / $269.15
U of Utah Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$77.62 / $208.93 / $354.81
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$194.98 / $275.42 / $436.52
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$48.98 / $58.88 / $95.50
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$144.54 / $204.17 / $338.84