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Utah rates for HCPCS 78201

Liver Imaging Static Only

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$24.16 / $24.16 / $24.16
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$199.44 / $199.44 / $199.44
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$170.98 / $202.54 / $335.24
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$108.07 / $144.46 / $196.16
Regence BlueShield
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$890.71 / $890.71 / $890.71
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$262.73 / $364.61 / $387.57
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$157.97 / $198.00 / $327.60