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Utah rates for HCPCS 78660

Radiopharmaceutical dacryocystography

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$190.55 / $977.24 / $1,230.27
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$134.90 / $162.18 / $269.15
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$426.58 / $512.86 / $1,621.81
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$151.36 / $199.53 / $281.84
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.36 / $51.29 / $302.00
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$691.83 / $1,230.27 / $1,698.24
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$199.53 / $371.54 / $380.19
Select Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$134.90 / $199.53 / $436.52
U of Utah Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.90 / $162.18 / $257.04
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$151.36 / $181.97 / $316.23