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Utah rates for HCPCS 70542

Mri Orbit Face & Neck W/Contrast Material

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$128.00 / $128.00 / $128.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$278.80 / $475.00 / $856.29
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$260.76 / $541.58 / $820.21
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$79.95 / $173.89 / $261.12
Regence BlueShield
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$669.98 / $669.98 / $669.98
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$410.45 / $479.00 / $805.37
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$267.50 / $396.49 / $650.00