go back

Utah rates for HCPCS 75825

Venography, caval, inferior, with serialography, radiological supervision and interpretation

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$61.66 / $61.66 / $61.66
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$95.50 / $151.36 / $295.12
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$125.89 / $190.55 / $478.63
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.36 / $33.11 / $346.74
Regence BlueShield
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$5,248.07 / $5,248.07 / $5,248.07
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$158.49 / $208.93 / $309.03
Select Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$104.71 / $177.83 / $269.15
U of Utah Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$75.86 / $107.15 / $269.15
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$120.23 / $151.36 / $363.08