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Utah rates for HCPCS G6002

Stereoscopic X-Ray Guidance For Localization Of Target Volume For The Delivery Of Radiation Therapy

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$22.46 / $22.46 / $22.46
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$72.52 / $79.06 / $364.52
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$19.98 / $35.63 / $78.00
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$53.16 / $56.59 / $127.46
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$67.55 / $67.55 / $67.55
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$18.45 / $18.45 / $18.45
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$49.10 / $49.10 / $49.10
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$44.29 / $57.90 / $77.63
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$77.90 / $99.24 / $105.49
Regence BlueShield
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$21.02 / $28.19 / $29.96
Regence BlueShield
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$56.87 / $71.04 / $75.51
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$84.70 / $123.41 / $142.71
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$22.28 / $26.16 / $34.53
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$55.58 / $84.66 / $120.56