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Utah rates for HCPCS C8930

Transthoracic echocardiography (TTE) with contrast, or without contrast followed by with contrast, real-time with image documentation (2D), includes M-mode recording, when performed, during rest and cardiovascular stress test using treadmill, bicycle exercise and/or pharmacologically induced stress, with interpretation and report; including performance of continuous electrocardiographic monitoring, with physician supervision

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$787.62 / $997.10 / $3,307.48
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$997.10 / $1,145.06 / $1,145.06
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$520.86 / $520.86 / $520.86
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.00 / $45.00 / $45.00
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,183.54 / $1,518.13 / $2,212.35