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Utah rates for HCPCS 77771

Hdr Rdncl Ntrstl/Intrcav Brachytx 2-12 Channel

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$218.67 / $218.67 / $218.67
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$546.25 / $637.53 / $1,090.26
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$190.80 / $218.67 / $334.94
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$703.25 / $791.37 / $1,104.84
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$238.51 / $272.98 / $372.18
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$157.66 / $347.42 / $570.91
Regence BlueShield
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$1,289.40 / $1,289.40 / $1,289.40
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$900.72 / $1,095.28 / $1,212.13
Regence BlueShield
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$294.45 / $375.69 / $415.76
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$612.44 / $765.55 / $1,010.53
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$205.71 / $252.41 / $339.43