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Utah rates for HCPCS 61623

Evasc Temp Balloon Artl Occlusion Head/Neck

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$800.88 / $4,387.00 / $10,458.00
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$16,616.70 / $20,988.87 / $30,397.25
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,340.00 / $10,927.00 / $24,613.00