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Utah rates for HCPCS 74290

Cholecystography, oral contrast

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$72.44 / $537.03 / $537.03
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$57.54 / $83.18 / $177.83
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$93.33 / $229.09 / $724.44
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$64.57 / $95.50 / $154.88
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$27.54 / $32.36 / $89.13
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$323.59 / $630.96 / $977.24
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$123.03 / $144.54 / $165.96
Select Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$75.86 / $125.89 / $165.96
U of Utah Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.88 / $95.50 / $162.18
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$58.88 / $79.43 / $138.04