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Utah rates for HCPCS A9558

Xenon Xe-133 Gas Diagnostic Per 10 Millicuries

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$254.08 / $254.08 / $584.46
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$254.08 / $254.08 / $254.08
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$260.20 / $260.20 / $260.20
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$45.00 / $60.00 / $99.51
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$290.81 / $358.34 / $377.18
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$255.10 / $255.10 / $255.10