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Utah rates for HCPCS 01636

Anesthesia for open or surgical arthroscopic procedures on humeral head and neck, sternoclavicular joint, acromioclavicular joint, and shoulder joint; interthoracoscapular (forequarter) amputation

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$56.23 / $1,659.59 / $1,659.59
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$38.02 / $56.23 / $1,659.59
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$758.58 / $977.24 / $1,318.26
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$380.19 / $891.25 / $1,096.48
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$933.25 / $1,122.02 / $1,412.54
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$38.02 / $50.12 / $79.43