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Utah rates for HCPCS 75870

Venography Superior Sagittal Sinus Rs&I

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$227.57 / $227.57 / $963.22
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$134.77 / $227.57 / $322.56
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$141.69 / $4,040.27 / $12,790.68
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$183.09 / $252.66 / $485.39
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.57 / $100.92 / $168.84
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
$231.00 / $269.58 / $319.20
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$167.92 / $196.46 / $372.24