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Utah rates for HCPCS G0296

Counseling Visit To Discuss Need For Lung Cancer Screening (Ldct) Using Low Dose Ct Scan (Reinstated 01/01/16) Pet Imaging Full And Partial Ring Pet Scanner Only For Restaging Of Previously Treated Thyroid Cancer Of Follicular Cell Origin Following Negative I -131 Whole Body Scan (Deleted 4/1/2005)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$33.36 / $33.36 / $35.44
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.76 / $26.29 / $35.44
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$24.70 / $24.70 / $24.70
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$24.84 / $32.34 / $44.75
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$25.86 / $35.53 / $41.99
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$24.90 / $32.36 / $50.07