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Utah rates for HCPCS 77263

Therapeutic radiology treatment planning; complex

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$177.83 / $177.83 / $177.83
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$138.04 / $234.42 / $660.69
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$199.53 / $223.87 / $316.23
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.36 / $33.11 / $288.40
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$251.19 / $288.40 / $346.74
Select Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$158.49 / $309.03 / $380.19
U of Utah Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$218.78 / $269.15 / $371.54
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$181.97 / $208.93 / $295.12