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Utah rates for HCPCS 78812

Pet Imaging Skull Base To Mid-Thigh

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$200.00 / $200.00 / $200.00
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$200.00 / $200.00 / $200.00
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$106.28 / $128.03 / $193.63
Regence BlueShield
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$2,694.22 / $2,694.22 / $2,694.22
Regence BlueShield
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$130.87 / $195.67 / $207.99
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$80.68 / $94.92 / $157.81