go back

Utah rates for HCPCS 76886

Us Inft Hips R-T Img Lmtd Static Phys/Qhp Manj

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.56 / $100.56 / $389.30
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$85.11 / $102.40 / $540.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$92.43 / $113.03 / $357.81
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$102.89 / $140.41 / $210.85
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.34 / $65.49 / $98.49
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
$148.22 / $184.14 / $216.23
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$99.90 / $107.41 / $174.50