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Utah rates for HCPCS 76828

Doppler echocardiography, fetal, pulsed wave and/or continuous wave with spectral display; follow-up or repeat study

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$30.20 / $30.20 / $30.20
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$40.74 / $52.48 / $141.25
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$51.29 / $69.18 / $104.71
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.36 / $33.11 / $123.03
Regence BlueShield
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$199.53 / $199.53 / $199.53
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$67.61 / $93.33 / $407.38
Select Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$47.86 / $74.13 / $112.20
U of Utah Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.90 / $43.65 / $95.50
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$48.98 / $53.70 / $87.10