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Utah rates for HCPCS 77338

Mlc Imrt Design & Construction Per Imrt Plan

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$241.06 / $241.06 / $241.06
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$444.26 / $520.46 / $1,248.39
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$214.80 / $382.44 / $975.33
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$232.34 / $279.39 / $1,485.95
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$549.91 / $654.62 / $860.73
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$268.50 / $307.80 / $420.41
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$281.41 / $332.72 / $440.32
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$154.19 / $213.97 / $452.85
Regence BlueShield
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$616.40 / $616.40 / $616.40
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$696.98 / $914.85 / $1,025.11
Regence BlueShield
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$332.63 / $421.66 / $466.73
Regence BlueShield
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$364.36 / $493.15 / $558.40
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$497.31 / $621.64 / $826.79
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$232.42 / $290.52 / $383.49
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$264.89 / $331.11 / $463.50