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Utah rates for HCPCS 76499

Unlisted Diagnostic Radiographic Procedure

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$82.73 / $282.95 / $444.44
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$144.00 / $144.00 / $281.25
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$92.43 / $126.62 / $357.81
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.00 / $45.00 / $60.00
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$133.81 / $174.89 / $251.95