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Utah rates for HCPCS 61702

Simple Intracranial Arysm Vertebrobasilar Crcj

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,038.00 / $4,387.00 / $5,768.48
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,867.68 / $5,768.48 / $9,208.79
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,791.22 / $5,627.62 / $9,081.37
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$373.43 / $2,480.17 / $3,694.16
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6,736.65 / $9,978.14 / $15,920.91
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
$3,864.29 / $4,717.21 / $8,431.20