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Utah rates for HCPCS 77262

Therapeutic radiology treatment planning; intermediate

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$120.23 / $120.23 / $120.23
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$81.28 / $112.20 / $245.47
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$128.82 / $147.91 / $204.17
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.36 / $33.11 / $194.98
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$158.49 / $186.21 / $239.88
Select Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$102.33 / $199.53 / $239.88
U of Utah Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$141.25 / $173.78 / $239.88
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$123.03 / $138.04 / $190.55