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Utah rates for HCPCS 78815

Pet Imaging Ct Attenuation Skull Base Mid-Thigh

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$200.00 / $200.00 / $4,408.17
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$22.53 / $200.00 / $330.24
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$134.21 / $160.87 / $321.11
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
$165.08 / $249.01 / $264.70
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$103.38 / $133.02 / $202.20