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Utah rates for HCPCS 76145

Medical physics dose evaluation for radiation exposure that exceeds institutional review threshold, including report

Facilitymedian $1,072 · 10th–90th $759–$1,2880%20%10th90th$1,072Professionalmedian $871 · 10th–90th $708–$1,6220%20%10th90th$871$50.0$100.0$200.0$500.0$1.0K$2.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$870.96 / $1,148.15 / $1,148.15
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$707.95 / $870.96 / $1,584.89
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$562.34 / $933.25 / $4,073.80
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$870.96 / $1,122.02 / $1,621.81
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$32.36 / $33.11 / $3,311.31
Regence BlueShield
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$512.86 / $977.24 / $1,548.82
Regence BlueShield
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,348.96 / $1,513.56 / $1,548.82
Select Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$954.99 / $1,479.11 / $1,949.84
U of Utah Health Plan
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$977.24 / $1,621.81 / $2,884.03
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$851.14 / $977.24 / $1,621.81