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Utah rates for HCPCS 72295

Diskograpy Lumbar Rs&I

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$46.61 / $46.61 / $46.61
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$94.38 / $140.94 / $227.92
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$33.36 / $46.61 / $84.70
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$120.18 / $165.16 / $295.52
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$42.68 / $54.40 / $94.24
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.57 / $67.28 / $99.85
Regence BlueShield
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$3,192.99 / $3,192.99 / $3,192.99
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$165.57 / $187.40 / $209.79
Regence BlueShield
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$58.00 / $66.51 / $91.45
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$102.68 / $133.41 / $217.44
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$40.26 / $43.67 / $72.45