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Utah rates for HCPCS 01940

Anes Perq Img Dstrj Px Nulyt Agt Spi/Sp Lmbr/Sac

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
AA
Low / Median / High Price
$1,057.56 / $1,057.56 / $1,332.52
Regence BlueShield
Facility/Professional
Professional
Modifier
QX
Low / Median / High Price
$144.59 / $172.68 / $200.33
Regence BlueShield
Facility/Professional
Professional
Modifier
QY
Low / Median / High Price
$144.59 / $172.68 / $200.33