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Utah rates for HCPCS 78494

Card Bl Pool Gated Spect Rest Wal Motn Ejct Frct

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$66.84 / $66.84 / $66.84
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$288.89 / $288.89 / $288.89
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$266.23 / $326.73 / $416.41
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.99 / $151.40 / $203.42
Regence BlueShield
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$686.36 / $686.36 / $686.36
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$315.27 / $437.09 / $464.62
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$198.48 / $254.05 / $388.20