go back

Utah rates for HCPCS 78803

Rp Loclzj Tum Spect 1 Area/Acquisj 1 Day Img

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$58.72 / $58.72 / $58.72
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$377.25 / $377.25 / $531.91
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$47.02 / $58.72 / $115.32
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$318.52 / $318.52 / $449.12
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$335.40 / $411.63 / $628.92
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$58.55 / $70.06 / $93.35
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$276.86 / $339.78 / $535.58
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.99 / $257.34 / $353.09
Regence BlueShield
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$2,376.81 / $2,376.81 / $2,376.81
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$516.54 / $661.75 / $703.43
Regence BlueShield
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$73.37 / $104.86 / $111.46
Regence BlueShield
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$443.18 / $556.89 / $591.97
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$298.62 / $401.32 / $667.21
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$45.06 / $53.77 / $89.40
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$253.56 / $330.17 / $577.80