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Utah rates for HCPCS 61702

Surgery of simple intracranial aneurysm, intracranial approach; vertebrobasilar circulation

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,162.28 / $4,570.88 / $6,025.60
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,467.37 / $4,466.84 / $9,120.11
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,467.37 / $5,495.41 / $8,709.64
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.36 / $33.11 / $11,220.18
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6,309.57 / $10,232.93 / $16,218.10
Select Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,630.78 / $9,549.93 / $12,589.25
U of Utah Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6,025.60 / $7,079.46 / $9,549.93
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
$3,630.78 / $4,677.35 / $8,511.38