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Utah rates for HCPCS 70542

Magnetic resonance (eg, proton) imaging, orbit, face, and/or neck; with 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
$275.42 / $467.74 / $891.25
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$263.03 / $524.81 / $812.83
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.36 / $33.11 / $537.03
Regence BlueShield
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$676.08 / $676.08 / $676.08
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$389.05 / $524.81 / $870.96
Select Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$251.19 / $426.58 / $912.01
U of Utah Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$107.15 / $316.23 / $537.03
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$269.15 / $398.11 / $660.69