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Utah rates for HCPCS 77762

Intracavitary Radiation Source Applic Intermed

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$540.10 / $540.10 / $540.10
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$539.02 / $540.10 / $3,088.02
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
$608.38 / $651.22 / $1,020.41
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$200.82 / $285.78 / $536.57
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
$823.89 / $943.23 / $1,137.75
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$547.12 / $683.90 / $902.75