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Utah rates for HCPCS 76800

Ultrasound Spinal Canal & Contents

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$60.93 / $60.93 / $60.93
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$128.51 / $169.60 / $755.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$126.70 / $195.96 / $315.75
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$53.14 / $88.11 / $158.49
Regence BlueShield
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$198.33 / $198.33 / $198.33
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$234.59 / $275.99 / $290.86
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$133.87 / $145.80 / $235.18