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Utah rates for HCPCS 77772

Hdr Rdncl Ntrstl/Intrcav Brachytx >12 Channels

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$310.52 / $310.52 / $310.52
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$878.02 / $972.78 / $4,073.60
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,050.10 / $1,207.20 / $1,648.50
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$211.37 / $550.08 / $861.73
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
$1,344.89 / $1,671.22 / $1,849.57
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$922.45 / $1,153.06 / $1,522.04