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Utah rates for HCPCS 73219

Mri Upper Extremity Oth Than Jt W/Contr Matrl

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$128.00 / $128.00 / $128.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$345.08 / $475.00 / $2,269.15
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$321.32 / $554.79 / $823.16
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$80.03 / $228.75 / $325.93
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
$507.12 / $587.96 / $808.23
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$336.82 / $475.51 / $790.55