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Utah rates for HCPCS 61720

Crtj Les Strtctc Burr Globus Pallidus/Thalamus

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,774.28 / $3,038.00 / $4,387.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,563.34 / $1,774.28 / $2,937.98
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,495.72 / $1,790.73 / $2,404.27
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$132.08 / $878.64 / $1,217.13
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9,433.62 / $12,630.47 / $18,406.21
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,152.57 / $3,299.91 / $3,778.14
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,912.00 / $7,693.00 / $13,847.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,209.45 / $1,520.26 / $2,719.26