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Utah rates for HCPCS 77263

Therapeutic Radiology Tx Planning Complex

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$179.29 / $179.29 / $179.29
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$148.53 / $273.95 / $721.98
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$200.87 / $218.12 / $313.61
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$117.07 / $141.04 / $188.87
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$248.36 / $315.68 / $349.37
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$174.31 / $217.89 / $287.61