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Utah rates for HCPCS 73719

Magnetic resonance (eg, proton) imaging, lower extremity other than joint; with contrast material(s)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$128.00 / $128.00 / $128.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$272.94 / $475.00 / $837.96
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$255.79 / $543.95 / $823.16
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$79.95 / $173.89 / $261.12
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
$402.53 / $469.74 / $810.94
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$263.20 / $449.31 / $650.00