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Utah rates for HCPCS 76815

Us Pregnant Uterus Limited 1/> Fetuses

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$34.93 / $145.54 / $213.85
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$82.59 / $138.22 / $399.66
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$30.36 / $55.59 / $135.00
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$51.14 / $68.44 / $286.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$81.16 / $111.37 / $165.62
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$32.86 / $43.47 / $65.76
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$55.10 / $67.91 / $103.71
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$24.96 / $37.11 / $98.49
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
$120.46 / $140.58 / $173.71
Regence BlueShield
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$45.11 / $57.26 / $71.59
Regence BlueShield
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$75.34 / $94.39 / $112.43
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$81.25 / $86.85 / $141.12
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$31.54 / $33.20 / $53.55
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$51.50 / $52.33 / $86.34