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Utah rates for HCPCS 20663

Application Halo Femoral Including Removal

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$639.71 / $4,387.00 / $8,133.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$442.44 / $639.71 / $2,488.41
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$456.81 / $625.08 / $1,025.46
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$61.47 / $291.15 / $463.88
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,684.92 / $6,137.22 / $8,943.69
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$640.11 / $767.92 / $1,018.78
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
$408.30 / $514.14 / $810.20