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Utah rates for HCPCS 78740

Ureteral reflux study (radiopharmaceutical voiding cystogram)

Facilitymedian $661 · 10th–90th $234–$1,2300%20%10th90th$661Professionalmedian $224 · 10th–90th $54–$4070%10%20%10th90th$224$50.0$100.0$200.0$500.0$1.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$234.42 / $501.19 / $1,230.27
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$169.82 / $213.80 / $234.42
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$426.58 / $724.44 / $1,621.81
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$199.53 / $281.84 / $416.87
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$32.36 / $51.29 / $371.54
Regence BlueShield
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$575.44 / $831.76 / $1,445.44
Regence BlueShield
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$316.23 / $436.52 / $457.09
Select Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$218.78 / $316.23 / $512.86
U of Utah Health Plan
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$34.67 / $251.19 / $371.54
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$190.55 / $223.87 / $371.54