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Utah rates for HCPCS 75989

Radiological Guidance Prq Drg W/Plmt Cath Rs&I

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$65.06 / $65.06 / $65.06
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$121.79 / $147.79 / $246.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$138.88 / $167.56 / $205.20
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.57 / $66.69 / $98.49
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$165.57 / $233.75 / $267.64
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$122.74 / $136.25 / $204.25