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Utah rates for HCPCS 78740

Ureteral reflux study (radiopharmaceutical voiding cystogram)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$234.42 / $501.19 / $1,230.27
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$134.90 / $223.87 / $309.03
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
$199.53 / $245.47 / $416.87
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.36 / $51.29 / $371.54
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
$316.23 / $436.52 / $457.09
Select Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$213.80 / $316.23 / $512.86
U of Utah Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$37.15 / $251.19 / $389.05
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$186.21 / $223.87 / $371.54