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Utah rates for HCPCS 76965

Us Guidance Interstitial Radioelment Application

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$75.61 / $75.61 / $75.61
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$104.87 / $129.32 / $191.32
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$58.95 / $75.59 / $127.02
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$111.51 / $137.83 / $175.30
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$73.95 / $92.24 / $125.57
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$24.96 / $46.89 / $67.18
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$140.29 / $169.53 / $187.66
Regence BlueShield
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$99.14 / $122.38 / $141.08
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$92.59 / $95.28 / $157.21
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$68.19 / $69.65 / $112.35