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Utah rates for HCPCS 73564

Radiologic Exam Knee Complete 4/More Views

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$13.21 / $57.14 / $95.65
Aetna
Facility/Professional
Facility
Modifier
TC
Low / Median / High Price
$32.68 / $392.56 / $785.12
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.89 / $53.35 / $204.00
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$9.57 / $20.86 / $51.00
Aetna
Facility/Professional
Professional
Modifier
50
Low / Median / High Price
$72.23 / $155.52 / $414.00
Aetna
Facility/Professional
Professional
Modifier
52
Low / Median / High Price
$19.39 / $22.95 / $126.57
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$29.78 / $46.40 / $146.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$39.82 / $54.16 / $97.38
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$11.44 / $15.24 / $24.10
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$27.39 / $39.09 / $73.31
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$22.10 / $28.95 / $39.23
Regence BlueShield
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$198.33 / $198.33 / $198.33
Regence BlueShield
Facility/Professional
Facility
Modifier
TC
Low / Median / High Price
$198.33 / $198.33 / $198.33
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$70.39 / $78.20 / $92.46
Regence BlueShield
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$16.36 / $19.87 / $25.78
Regence BlueShield
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$51.76 / $56.60 / $66.01
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$39.95 / $44.39 / $73.59
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$10.85 / $11.89 / $19.53
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$28.72 / $32.84 / $54.60