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Utah rates for HCPCS 78215

Liver and spleen imaging; static only

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$26.92 / $26.92 / $26.92
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$123.03 / $194.98 / $275.42
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$177.83 / $223.87 / $354.81
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.36 / $60.26 / $331.13
Regence BlueShield
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$691.83 / $691.83 / $691.83
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$269.15 / $380.19 / $407.38
Select Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$186.21 / $275.42 / $467.74
U of Utah Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$31.62 / $223.87 / $331.13
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$162.18 / $208.93 / $338.84