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Utah rates for HCPCS 78635

Cerebrospinal fluid flow, imaging (not including introduction of material); ventriculography

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$346.74 / $1,659.59 / $1,659.59
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$263.03 / $331.13 / $478.63
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$562.34 / $691.83 / $2,187.76
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$288.40 / $354.81 / $602.56
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.36 / $60.26 / $575.44
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$891.25 / $1,584.89 / $2,187.76
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$457.09 / $660.69 / $724.44
Select Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$309.03 / $457.09 / $794.33
U of Utah Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$39.81 / $389.05 / $575.44
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$275.42 / $346.74 / $575.44