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Utah rates for HCPCS 61684

Intracranial Arven Malfrmj Infratentrl Smpl

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,038.00 / $4,070.74 / $4,387.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,455.32 / $4,070.74 / $6,527.27
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,404.71 / $4,038.57 / $8,176.48
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$261.90 / $1,759.29 / $2,668.92
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,777.26 / $7,029.01 / $11,274.67
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
$2,716.56 / $3,434.66 / $5,927.05