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Utah rates for HCPCS 77077

Joint Survey Single View 2 Or More Joints

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$18.48 / $18.48 / $18.48
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$39.31 / $46.09 / $213.00
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$3.67 / $16.73 / $37.77
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$25.56 / $29.29 / $59.86
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$41.99 / $55.67 / $85.89
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$16.57 / $21.89 / $34.84
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$24.16 / $35.95 / $55.11
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$22.48 / $28.95 / $38.52
Regence BlueShield
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$198.33 / $198.33 / $198.33
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$69.89 / $77.31 / $82.94
Regence BlueShield
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$24.29 / $30.43 / $36.34
Regence BlueShield
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$39.53 / $45.60 / $50.86
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$41.30 / $46.56 / $76.81
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$15.40 / $17.68 / $29.40
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$25.82 / $28.88 / $47.65