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Utah rates for HCPCS 77401

Radiation Tx Delivery Superficial&/Ortho Volta

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$143.16 / $143.16 / $143.16
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$22.63 / $28.95 / $39.23
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$38.54 / $40.96 / $68.84
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$24.90 / $31.40 / $49.68