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Utah rates for HCPCS 78813

Pet Imaging Whole Body

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
$110.55 / $132.69 / $198.16
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
$133.85 / $204.20 / $217.04
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$80.98 / $107.86 / $158.41