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Utah rates for HCPCS 77290

Therapeutic radiology simulation-aided field setting; complex

Facilitymedian $85 · 10th–90th $85$850%50%$85Professionalmedian $355 · 10th–90th $81$1,3490%5%10%10th90th$355$50.0$100.0$200.0$500.0$1.0K$2.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Small sample — interpret with caution. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$85.11 / $85.11 / $85.11
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$407.38 / $562.34 / $2,754.23
Aetna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$77.62 / $158.49 / $354.81
Aetna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$354.81 / $478.63 / $2,398.83
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$446.68 / $660.69 / $851.14
Cigna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$97.72 / $107.15 / $141.25
Cigna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$389.05 / $562.34 / $707.95
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$32.36 / $60.26 / $912.01
Regence BlueShield
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$616.60 / $616.60 / $616.60
Regence BlueShield
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$660.69 / $776.25 / $1,000.00
Regence BlueShield
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$120.23 / $141.25 / $169.82
Regence BlueShield
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$549.54 / $630.96 / $831.76
Select Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$436.52 / $776.25 / $1,047.13
Select Health
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$81.28 / $151.36 / $186.21
Select Health
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$363.08 / $630.96 / $870.96
U of Utah Health Plan
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$112.20 / $512.86 / $758.58
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$478.63 / $660.69 / $1,023.29
United
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$89.13 / $102.33 / $524.81
United
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$436.52 / $549.54 / $851.14