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Utah rates for HCPCS 78814

Pet Imaging Ct For Attenuation Limited Area

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 / $244.53
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$121.41 / $145.25 / $219.37
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
$148.22 / $227.00 / $241.30
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$92.34 / $119.44 / $180.60