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Utah rates for HCPCS 77778

Interstitial Radiation Source Applic Complex

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$629.38 / $629.38 / $629.38
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$894.21 / $921.64 / $5,011.02
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$455.84 / $629.38 / $2,639.84
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,050.92 / $1,123.38 / $1,969.42
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$549.99 / $746.16 / $858.46
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$331.51 / $466.87 / $929.60
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
$1,369.67 / $1,689.94 / $1,796.37
Regence BlueShield
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$679.14 / $792.55 / $1,582.56
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$886.36 / $1,107.95 / $1,473.60
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$474.58 / $696.50 / $946.80