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Utah rates for HCPCS 78103

Bone marrow imaging; multiple areas

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$234.42 / $1,230.27 / $1,230.27
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$147.91 / $181.97 / $302.00
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
$194.98 / $263.03 / $363.08
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.36 / $60.26 / $380.19
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
$257.04 / $446.68 / $467.74
Select Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$173.78 / $257.04 / $512.86
U of Utah Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$42.66 / $208.93 / $331.13
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$186.21 / $223.87 / $371.54