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Utah rates for HCPCS 78015

Thyroid carcinoma metastases imaging; limited area (eg, neck and chest only)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$229.09 / $1,230.27 / $1,230.27
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$177.83 / $229.09 / $323.59
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$426.58 / $512.86 / $1,621.81
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$199.53 / $245.47 / $389.05
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.36 / $60.26 / $371.54
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$691.83 / $1,230.27 / $1,698.24
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$316.23 / $426.58 / $467.74
Select Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$213.80 / $316.23 / $537.03
U of Utah Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$43.65 / $245.47 / $380.19
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$181.97 / $234.42 / $389.05