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Utah rates for HCPCS 78740

Ureteral Reflux Study Rp Voiding Cystogram

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$237.71 / $237.71 / $497.06
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$237.71 / $237.71 / $237.71
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
$201.64 / $238.07 / $416.48
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.60 / $159.19 / $236.97
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
$312.80 / $423.35 / $450.02
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$188.30 / $224.12 / $372.61