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Utah rates for HCPCS 73115

Radex Wrist Arthrography Rs&I

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$31.23 / $31.23 / $31.23
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$116.05 / $120.38 / $276.52
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$101.86 / $147.47 / $244.95
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.34 / $92.34 / $131.97
Regence BlueShield
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$669.98 / $669.98 / $669.98
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$200.76 / $215.05 / $241.96
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$107.41 / $128.47 / $211.99