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Utah rates for HCPCS 61686

Surgery of intracranial arteriovenous malformation; infratentorial, complex

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,162.28 / $4,570.88 / $6,456.54
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,890.45 / $5,011.87 / $11,220.18
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,890.45 / $6,165.95 / $10,471.29
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.36 / $33.11 / $13,803.84
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7,079.46 / $11,481.54 / $20,892.96
Select Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,073.80 / $10,471.29 / $14,454.40
U of Utah Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6,760.83 / $7,943.28 / $10,964.78
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,290.87 / $5,128.61 / $13,803.84
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,168.69 / $5,370.32 / $9,549.93