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Utah rates for HCPCS 73225

Magnetic resonance angiography, upper extremity, with or without contrast material(s)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$302.00 / $2,884.03 / $3,801.89
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$346.74 / $478.63 / $1,096.48
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$562.34 / $691.83 / $724.44
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$331.13 / $575.44 / $776.25
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.36 / $33.11 / $549.54
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$501.19 / $676.08 / $912.01
Select Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$309.03 / $501.19 / $954.99
U of Utah Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$114.82 / $398.11 / $645.65
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$338.84 / $426.58 / $691.83