go back

Utah rates for HCPCS 90940

Hemodialysis access flow study to determine blood flow in grafts and arteriovenous fistulae by an indicator method

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$66.07 / $66.07 / $66.07
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$52.48 / $63.10 / $89.13
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$134.90 / $134.90 / $134.90
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$63.10 / $75.86 / $123.03
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.20 / $45.71 / $91.20
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$66.07 / $89.13 / $109.65
Select Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$35.48 / $35.48 / $97.72
U of Utah Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.90 / $50.12 / $87.10
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$51.29 / $66.07 / $100.00