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Utah rates for HCPCS 01634

Anesthesia for open or surgical arthroscopic procedures on humeral head and neck, sternoclavicular joint, acromioclavicular joint, and shoulder joint; shoulder disarticulation

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$56.23 / $1,023.29 / $1,023.29
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$38.02 / $56.23 / $1,047.13
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$457.09 / $588.84 / $776.25
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$239.88 / $537.03 / $776.25
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$575.44 / $707.95 / $891.25
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$38.02 / $50.12 / $79.43