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Utah rates for HCPCS 73615

Radiologic examination, ankle, arthrography, radiological supervision and interpretation

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$30.90 / $30.90 / $30.90
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$91.20 / $128.82 / $269.15
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$100.00 / $151.36 / $263.03
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.36 / $33.11 / $190.55
Regence BlueShield
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$676.08 / $676.08 / $676.08
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$181.97 / $213.80 / $251.19
Select Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$123.03 / $190.55 / $251.19
U of Utah Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$38.90 / $144.54 / $239.88
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$102.33 / $123.03 / $213.80