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Utah rates for HCPCS 74250

Radiologic Exam Small Int Single Contrast Study

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$25.98 / $25.98 / $25.98
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$96.60 / $115.24 / $608.00
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$23.56 / $36.90 / $103.75
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$100.47 / $138.00 / $230.23
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$25.58 / $34.40 / $71.17
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.34 / $65.49 / $131.97
Regence BlueShield
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$324.95 / $324.95 / $324.95
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$180.94 / $201.04 / $233.50
Regence BlueShield
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$48.14 / $56.02 / $63.71
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$104.55 / $123.07 / $203.07
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$23.15 / $41.86 / $69.06