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Utah rates for HCPCS 76831

Saline Infus Sonohysterography W/Color Doppler

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$39.49 / $39.49 / $39.49
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$108.25 / $135.99 / $615.42
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$119.22 / $159.50 / $232.54
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.34 / $65.49 / $130.56
Regence BlueShield
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$418.84 / $418.84 / $418.84
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$173.01 / $213.63 / $244.60
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$116.17 / $121.26 / $200.08