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Utah rates for HCPCS 70540

Magnetic resonance (eg, proton) imaging, orbit, face, and/or neck; without contrast material(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
$239.88 / $478.63 / $1,071.52
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$64.57 / $131.83 / $208.93
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$177.83 / $302.00 / $512.86
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$218.78 / $478.63 / $724.44
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$53.70 / $77.62 / $162.18
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$158.49 / $354.81 / $602.56
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.36 / $33.11 / $478.63
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
$331.13 / $446.68 / $758.58
Regence BlueShield
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$89.13 / $117.49 / $154.88
Regence BlueShield
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$239.88 / $323.59 / $602.56
Select Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$213.80 / $354.81 / $758.58
Select Health
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$60.26 / $147.91 / $173.78
Select Health
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$151.36 / $208.93 / $331.13
U of Utah Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$89.13 / $269.15 / $478.63
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$223.87 / $346.74 / $645.65
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$54.95 / $58.88 / $114.82
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$165.96 / $251.19 / $489.78