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Utah rates for HCPCS 72240

Myelography, cervical, radiological supervision and interpretation

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$50.12 / $50.12 / $50.12
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$77.62 / $117.49 / $234.42
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$109.65 / $169.82 / $239.88
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.36 / $33.11 / $114.82
Regence BlueShield
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$1,288.25 / $1,288.25 / $1,288.25
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$162.18 / $194.98 / $281.84
Select Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$107.15 / $169.82 / $239.88
U of Utah Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$61.66 / $112.20 / $218.78
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$100.00 / $131.83 / $223.87