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Utah rates for HCPCS 75872

Venography Epidural Rs&I

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$306.26 / $306.26 / $1,399.01
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$107.91 / $262.55 / $813.66
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.95 / $793.63 / $2,512.46
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$147.94 / $235.54 / $507.61
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.57 / $67.28 / $135.30
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$894.19 / $1,209.07 / $2,134.69
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$190.85 / $238.46 / $303.52
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$143.28 / $229.12 / $390.75