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Utah rates for HCPCS 78660

Radiopharmaceutical Dacryocystography

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$190.13 / $190.13 / $979.07
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$190.13 / $190.13 / $190.13
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$421.81 / $515.80 / $1,632.94
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$150.06 / $192.59 / $280.02
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.60 / $93.53 / $135.78
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$623.61 / $793.80 / $1,217.07
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$197.30 / $341.44 / $367.69
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$150.47 / $180.68 / $316.20