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Utah rates for HCPCS 75805

Lymphangiography Pelvic/Abdominal Unilat Rs&I

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$449.65 / $449.65 / $2,547.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$449.65 / $2,385.67 / $5,609.48
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$295.11 / $4,040.27 / $12,790.68
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$275.47 / $363.56 / $519.52
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.34 / $42.05 / $603.54
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,429.20 / $5,981.75 / $8,807.33
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$376.75 / $471.96 / $565.60
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$284.08 / $1,672.75 / $2,843.68