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Utah rates for HCPCS 61250

Burr Hole/Trephine Supratentorial W/O Oth Surg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,219.05 / $3,038.00 / $4,387.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,075.51 / $1,219.05 / $2,010.50
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,029.11 / $1,225.36 / $1,910.25
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$78.19 / $611.50 / $843.11
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,472.31 / $2,244.94 / $2,641.11
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,312.00 / $2,446.00 / $13,847.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$805.46 / $968.80 / $1,799.28