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Utah rates for HCPCS 73202

Ct Upper Extremity W/O & W/Contrast Material

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$67.38 / $67.38 / $67.38
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$218.08 / $413.03 / $582.37
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$55.43 / $67.38 / $302.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$240.61 / $373.98 / $580.94
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$51.25 / $71.06 / $124.57
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.57 / $160.06 / $230.95
Regence BlueShield
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$324.95 / $324.95 / $324.95
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$379.72 / $440.97 / $576.75
Regence BlueShield
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$84.28 / $98.35 / $129.99
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$239.89 / $305.98 / $563.04
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$50.93 / $58.83 / $103.81