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Utah rates for HCPCS 72081

Radiologic examination, spine, entire thoracic and lumbar, including skull, cervical and sacral spine if performed (eg, scoliosis evaluation); one view

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$15.14 / $15.14 / $15.14
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$34.67 / $46.77 / $162.18
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$10.96 / $17.38 / $31.62
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$23.44 / $32.36 / $66.07
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$40.74 / $51.29 / $87.10
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$12.30 / $17.78 / $26.92
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$25.70 / $33.88 / $57.54
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$22.91 / $33.11 / $60.26
Regence BlueShield
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$147.91 / $147.91 / $147.91
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$60.26 / $74.13 / $85.11
Regence BlueShield
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$17.38 / $22.91 / $30.90
Regence BlueShield
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$42.66 / $50.12 / $57.54
Select Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$40.74 / $66.07 / $81.28
Select Health
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$12.02 / $19.50 / $27.54
Select Health
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$28.84 / $45.71 / $53.70
U of Utah Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.20 / $47.86 / $79.43
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$37.15 / $41.69 / $69.18
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$12.30 / $13.80 / $22.39
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$23.99 / $28.18 / $46.77