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Unclassified Diagnostic Radiopharmaceutical

Utah rates for HCPCS A4641

Radiopharmaceutical, diagnostic, not otherwise classified

Rates data updated July 2026.

Facilitymedian $5,012 · 10th–90th $5,012$5,0120%50%100%$5,012Professionalmedian $91 · 10th–90th $45$5,0120%20%10th90th$91$50.0$100.0$200.0$500.0$1.0K$2.0K$5.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Small sample; interpret with caution. Need provider-level prices? Contact us.

Insurance Carrier
Cigna
Setting
Professional
Modifier
Global
Typical Low
$91.20
Median
$91.20
Typical High
$91.20
Molina
Setting
Professional
Modifier
Global
Typical Low
$44.67
Median
$44.67
Typical High
$60.26
Select Health
Setting
Facility
Modifier
Global
Typical Low
$5,011.87
Median
$5,011.87
Typical High
$5,011.87
Select Health
Setting
Professional
Modifier
Global
Typical Low
$4,265.80
Median
$5,011.87
Typical High
$5,128.61