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Utah rates for HCPCS 72052

Radiologic examination, spine, cervical; 6 or more views

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$19.95 / $19.95 / $19.95
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$53.70 / $89.13 / $302.00
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$12.88 / $22.39 / $60.26
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$39.81 / $52.48 / $125.89
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$63.10 / $85.11 / $125.89
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$15.14 / $22.91 / $33.11
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$43.65 / $54.95 / $91.20
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.90 / $33.11 / $64.57
Regence BlueShield
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$199.53 / $199.53 / $199.53
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$87.10 / $109.65 / $138.04
Regence BlueShield
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$19.95 / $26.30 / $41.69
Regence BlueShield
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$67.61 / $79.43 / $93.33
Select Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$57.54 / $95.50 / $120.23
Select Health
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$13.80 / $22.91 / $32.36
Select Health
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$44.67 / $72.44 / $85.11
U of Utah Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$20.42 / $70.79 / $117.49
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$56.23 / $63.10 / $112.20
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$14.45 / $17.78 / $25.70
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$39.81 / $45.71 / $83.18