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Utah rates for HCPCS C8926

Transesophageal echocardiography (TEE) with contrast, or without contrast followed by with contrast, for congenital cardiac anomalies; including probe placement, image acquisition, interpretation and report

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,135.93 / $3,135.93 / $3,135.93
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,726.72 / $1,726.72 / $3,135.93
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.00 / $30.00 / $30.00
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,183.54 / $1,518.13 / $2,212.35