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Utah rates for HCPCS 73521

Radiologic examination, hips, bilateral, with pelvis when performed; 2 views

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$40.74 / $223.87 / $478.63
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$12.02 / $12.02 / $12.02
Aetna
Facility/Professional
Facility
Modifier
TC
Low / Median / High Price
$28.18 / $489.78 / $812.83
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$34.67 / $47.86 / $158.49
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$8.91 / $14.45 / $38.02
Aetna
Facility/Professional
Professional
Modifier
50
Low / Median / High Price
$38.02 / $38.02 / $177.83
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$25.12 / $32.36 / $77.62
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$41.69 / $138.04 / $436.52
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$36.31 / $51.29 / $85.11
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$10.72 / $15.49 / $23.44
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$26.92 / $36.31 / $60.26
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$28.18 / $33.11 / $66.07
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$199.53 / $389.05 / $549.54
Regence BlueShield
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$199.53 / $199.53 / $199.53
Regence BlueShield
Facility/Professional
Facility
Modifier
TC
Low / Median / High Price
$199.53 / $199.53 / $199.53
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$57.54 / $72.44 / $85.11
Regence BlueShield
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$15.14 / $19.95 / $26.30
Regence BlueShield
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$42.66 / $53.70 / $58.88
Select Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$38.90 / $63.10 / $77.62
Select Health
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$10.23 / $16.98 / $23.99
Select Health
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$28.18 / $46.77 / $54.95
U of Utah Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.49 / $47.86 / $75.86
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$36.31 / $40.74 / $67.61
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$10.72 / $11.75 / $19.05
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$26.30 / $28.84 / $47.86