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Utah rates for HCPCS 73115

Radiologic examination, wrist, arthrography, radiological supervision and interpretation

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$30.90 / $30.90 / $30.90
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$91.20 / $128.82 / $275.42
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$102.33 / $151.36 / $245.47
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.36 / $33.11 / $165.96
Regence BlueShield
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$676.08 / $676.08 / $676.08
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$190.55 / $223.87 / $257.04
Select Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$123.03 / $199.53 / $257.04
U of Utah Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$38.90 / $147.91 / $257.04
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$100.00 / $120.23 / $213.80