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Utah rates for HCPCS 61576

Trnsrl Skul Bse/Br Stm/Cord Bx/Dcmp/ Splt Tongue

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,038.00 / $4,387.00 / $5,036.47
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5,036.47 / $5,036.47 / $9,662.43
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,402.85 / $5,682.71 / $9,089.14
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$372.07 / $2,587.83 / $3,882.56
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7,002.88 / $8,834.85 / $10,393.94
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
$3,552.98 / $4,632.68 / $8,738.62