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Utah rates for HCPCS 75833

Venography, renal, bilateral, selective, radiological supervision and interpretation

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$263.03 / $9,772.37 / $9,772.37
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$123.03 / $154.88 / $426.58
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$107.15 / $4,073.80 / $12,882.50
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$151.36 / $239.88 / $512.86
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.36 / $33.11 / $354.81
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,248.07 / $9,332.54 / $12,882.50
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$208.93 / $275.42 / $380.19
Select Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$144.54 / $229.09 / $338.84
U of Utah Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$97.72 / $144.54 / $323.59
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$151.36 / $190.55 / $398.11