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Utah rates for HCPCS 74400

Urography Iv W/Wo Kub W/Wo Tomography

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$27.11 / $27.11 / $27.11
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$116.12 / $121.08 / $276.75
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$19.10 / $27.11 / $48.84
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$106.30 / $146.99 / $244.73
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$24.75 / $32.36 / $50.53
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$64.84 / $86.46 / $115.86
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
$200.76 / $218.59 / $246.73
Regence BlueShield
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$34.21 / $42.23 / $51.79
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$111.61 / $129.91 / $214.37
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$23.49 / $24.90 / $41.40