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Utah rates for HCPCS 77076

Radiologic examination, osseous survey, infant

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$20.89 / $109.65 / $323.59
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$74.13 / $109.65 / $213.80
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $138.04 / $436.52
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$91.20 / $128.82 / $218.78
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.36 / $33.11 / $97.72
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$199.53 / $389.05 / $549.54
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$151.36 / $186.21 / $218.78
Select Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$97.72 / $165.96 / $213.80
U of Utah Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$47.86 / $114.82 / $199.53
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$85.11 / $104.71 / $181.97