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Utah rates for HCPCS A9698

Nonradioactive contrast imaging material, not otherwise classified, per study

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.32 / $213.88 / $254.68
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$76.00 / $76.00 / $76.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$28.35 / $28.35 / $28.35
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$45.00 / $45.00 / $182.00