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Utah rates for HCPCS 77386

Intensity Modulated Radiation Tx Dlvr Complex

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,424.19 / $2,424.19 / $2,424.19
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$45.00 / $45.00 / $439.85
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$897.56 / $1,133.73 / $1,789.84
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$529.42 / $711.46 / $787.38
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$369.92 / $475.25 / $628.66