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Utah rates for HCPCS 78265

Gastric emptying imaging study (eg, solid, liquid, or both); with small bowel transit

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$53.70 / $53.70 / $53.70
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$263.03 / $371.54 / $741.31
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$371.54 / $512.86 / $758.58
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.36 / $33.11 / $501.19
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
$512.86 / $691.83 / $851.14
Select Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$323.59 / $537.03 / $758.58
U of Utah Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$61.66 / $436.52 / $676.08
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$338.84 / $354.81 / $676.08