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Utah rates for HCPCS 72020

Radex Spine 1 View Specify Level

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$8.65 / $8.65 / $8.65
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$20.51 / $26.10 / $114.12
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$6.45 / $8.65 / $17.16
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$14.08 / $17.45 / $37.29
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$23.68 / $29.69 / $51.67
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$8.11 / $10.33 / $16.82
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$15.16 / $19.27 / $34.84
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$22.02 / $28.82 / $38.52
Regence BlueShield
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$147.24 / $147.24 / $147.24
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$36.19 / $41.54 / $48.91
Regence BlueShield
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$11.40 / $14.28 / $16.54
Regence BlueShield
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$24.79 / $27.54 / $32.35
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$22.20 / $24.54 / $40.79
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$7.48 / $8.30 / $13.80
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$14.62 / $16.30 / $27.09