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Utah rates for HCPCS 73050

Radiologic examination; acromioclavicular joints, bilateral, with or without weighted distraction

Facilitymedian $12 · 10th–90th $12$120%50%$12Professionalmedian $26 · 10th–90th $9$650%5%10th90th$26$10.0$20.0$50.0$100.0$200.0

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Small sample — interpret with caution. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$12.02 / $12.02 / $12.02
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$23.99 / $40.74 / $173.78
Aetna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$7.94 / $12.02 / $37.15
Aetna
Facility/Professional
Professional
Modifier
52
Typical Low / Median / Typical High
$54.95 / $54.95 / $54.95
Aetna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$15.85 / $25.12 / $123.03
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$32.36 / $43.65 / $67.61
Cigna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$9.77 / $13.49 / $20.89
Cigna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$22.39 / $30.20 / $46.77
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$17.78 / $33.11 / $64.57
Regence BlueShield
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$147.91 / $147.91 / $147.91
Regence BlueShield
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$39.81 / $47.86 / $85.11
Regence BlueShield
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$12.59 / $14.79 / $25.12
Regence BlueShield
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$27.54 / $33.11 / $60.26
Select Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$28.84 / $44.67 / $67.61
Select Health
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$9.12 / $14.13 / $20.89
Select Health
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$19.95 / $30.20 / $41.69
U of Utah Health Plan
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$12.88 / $30.90 / $58.88
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$30.20 / $35.48 / $52.48
United
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$8.32 / $10.72 / $18.62
United
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$20.89 / $25.12 / $43.65