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Utah rates for HCPCS 74410

Urography, infusion, drip technique and/or bolus technique;

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$27.47 / $27.47 / $27.47
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$120.06 / $124.70 / $757.49
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$97.23 / $103.81 / $621.63
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$110.98 / $148.69 / $256.72
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$84.25 / $115.82 / $213.87
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$67.90 / $99.86 / $138.52
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
$200.18 / $217.99 / $242.19
Regence BlueShield
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$162.59 / $176.98 / $200.65
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$112.19 / $132.09 / $217.95
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$87.31 / $107.55 / $178.80