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Utah rates for HCPCS 73564

Radiologic examination, knee; complete, 4 or more views

Facilitymedian $347 · 10th–90th $32$7590%10%10th90th$347Professionalmedian $46 · 10th–90th $11$1450%5%10%10th90th$46$2.0$10.0$50.0$200.0$1.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$12.88 / $57.54 / $95.50
Aetna
Facility/Professional
Facility
Modifier
TC
Typical Low / Median / Typical High
$32.36 / $389.05 / $776.25
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$19.05 / $52.48 / $194.98
Aetna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$8.91 / $20.89 / $51.29
Aetna
Facility/Professional
Professional
Modifier
50
Typical Low / Median / Typical High
$45.71 / $114.82 / $380.19
Aetna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$28.18 / $46.77 / $144.54
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$39.81 / $54.95 / $97.72
Cigna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$10.96 / $15.14 / $23.99
Cigna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$27.54 / $38.02 / $69.18
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$19.05 / $33.11 / $70.79
Regence BlueShield
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$199.53 / $199.53 / $199.53
Regence BlueShield
Facility/Professional
Facility
Modifier
TC
Typical Low / Median / Typical High
$199.53 / $199.53 / $199.53
Regence BlueShield
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$64.57 / $77.62 / $93.33
Regence BlueShield
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$15.49 / $18.20 / $26.92
Regence BlueShield
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$50.12 / $58.88 / $67.61
Select Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$46.77 / $72.44 / $95.50
Select Health
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$10.72 / $17.38 / $26.30
Select Health
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$36.31 / $54.95 / $63.10
U of Utah Health Plan
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$15.85 / $51.29 / $87.10
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$38.02 / $44.67 / $79.43
United
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$9.77 / $11.48 / $19.50
United
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$28.18 / $33.11 / $54.95