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Utah rates for HCPCS 76885

Us Inft Hips R-T Img Dynamic Req Phys/Qhp Manj

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$107.78 / $107.78 / $457.04
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$96.62 / $116.31 / $670.77
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$92.43 / $134.90 / $357.81
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$136.41 / $189.85 / $287.33
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.34 / $92.34 / $133.49
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$133.81 / $174.89 / $252.32
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$201.76 / $255.76 / $292.80
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$135.25 / $146.16 / $236.25