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Utah rates for HCPCS 15845

Grf Facial Nerve Paralysis Regional Muscle Tr

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,027.29 / $4,387.00 / $8,344.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$722.51 / $984.60 / $1,601.02
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$960.82 / $1,344.39 / $3,019.74
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$90.31 / $623.79 / $975.11
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,537.58 / $6,904.89 / $9,912.95
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,153.63 / $1,309.54 / $2,065.55
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,155.00 / $6,097.00 / $8,267.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$821.61 / $1,042.93 / $1,680.27