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Utah rates for HCPCS 78110

Plasma volume, radiopharmaceutical volume-dilution technique (separate procedure); single sampling

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$87.10 / $3,981.07 / $3,981.07
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$56.23 / $70.79 / $97.72
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,380.38 / $1,659.59 / $5,248.07
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$75.86 / $93.33 / $144.54
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$22.91 / $33.11 / $158.49
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,137.96 / $4,168.69 / $5,888.44
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$102.33 / $186.21 / $218.78
Select Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$70.79 / $107.15 / $165.96
U of Utah Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.96 / $89.13 / $131.83
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$61.66 / $83.18 / $123.03