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Utah rates for HCPCS 75810

Splenoportography, radiological supervision and interpretation

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,185.05 / $2,185.05 / $12,680.80
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,185.05 / $2,383.85 / $5,604.12
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$527.29 / $4,040.27 / $12,790.68
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$495.02 / $646.11 / $905.28
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.34 / $54.77 / $1,210.66
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,434.03 / $6,043.65 / $8,807.33
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$639.97 / $796.12 / $1,095.09
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$562.98 / $1,681.78 / $3,761.63