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Utah rates for HCPCS 94729

Diffusing capacity (eg, carbon monoxide, membrane) (List separately in addition to code for primary procedure)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$8.91 / $15.14 / $15.14
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$52.48 / $63.10 / $199.53
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$7.59 / $9.55 / $34.67
Aetna
Facility/Professional
Professional
Modifier
52
Low / Median / High Price
$39.81 / $39.81 / $39.81
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$42.66 / $50.12 / $97.72
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$48.98 / $70.79 / $109.65
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$8.13 / $11.75 / $18.20
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$40.74 / $60.26 / $93.33
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.36 / $33.11 / $102.33
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$61.66 / $79.43 / $120.23
Regence BlueShield
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$9.33 / $12.02 / $20.89
Regence BlueShield
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$52.48 / $67.61 / $100.00
Select Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$57.54 / $100.00 / $131.83
Select Health
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$8.91 / $15.85 / $22.91
Select Health
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$50.12 / $77.62 / $87.10
U of Utah Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.75 / $66.07 / $91.20
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$48.98 / $63.10 / $93.33
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$7.76 / $9.77 / $15.49
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$41.69 / $52.48 / $79.43