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Utah rates for HCPCS 74740

Hysterosalpingography Rs&I

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$20.67 / $20.67 / $20.67
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$71.84 / $88.18 / $432.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$75.98 / $101.86 / $169.97
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$44.20 / $57.90 / $77.63
Regence BlueShield
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$418.84 / $418.84 / $418.84
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$139.29 / $151.34 / $168.22
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$76.95 / $91.67 / $151.26