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Utah rates for HCPCS 77761

Intracavitary Radiation Source Applic Simple

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$400.97 / $400.97 / $400.97
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$400.97 / $400.97 / $2,338.10
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$607.24 / $742.55 / $2,350.76
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$438.30 / $493.65 / $774.37
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$150.45 / $211.25 / $412.58
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
$627.08 / $709.31 / $791.37
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$412.87 / $516.09 / $681.24