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Utah rates for HCPCS 75984

Change Prq Tube/Drainage Cath W Contrast Rs&I

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$39.89 / $39.89 / $39.89
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$81.76 / $106.79 / $198.49
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$99.83 / $133.10 / $174.90
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.57 / $66.69 / $98.98
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$141.78 / $183.11 / $235.19
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$97.96 / $107.31 / $166.14