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Utah rates for HCPCS 73615

Radex Ankle Arthrography Rs&I

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$31.23 / $31.23 / $31.23
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$112.86 / $117.18 / $743.69
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$98.26 / $137.53 / $263.08
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.34 / $92.34 / $131.97
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
$187.27 / $199.93 / $225.42
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$104.65 / $130.28 / $214.96