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Utah rates for HCPCS 77321

Special teletherapy port plan, particles, hemibody, total body

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$52.48 / $52.48 / $52.48
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$75.86 / $114.82 / $512.86
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$41.69 / $67.61 / $120.23
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$34.67 / $50.12 / $81.28
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$109.65 / $138.04 / $204.17
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$58.88 / $66.07 / $93.33
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$51.29 / $70.79 / $138.04
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.36 / $33.11 / $169.82
Regence BlueShield
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$616.60 / $616.60 / $616.60
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$141.25 / $162.18 / $186.21
Regence BlueShield
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$74.13 / $87.10 / $102.33
Regence BlueShield
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$66.07 / $75.86 / $83.18
Select Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$89.13 / $169.82 / $213.80
Select Health
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$47.86 / $93.33 / $112.20
Select Health
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$40.74 / $79.43 / $91.20
U of Utah Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$57.54 / $87.10 / $186.21
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$112.20 / $123.03 / $181.97
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$54.95 / $63.10 / $87.10
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$53.70 / $64.57 / $89.13