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Utah rates for HCPCS 61791

Create Les Strtctc Prq Neurolytic Trigeminal Trc

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,577.30 / $4,387.00 / $8,133.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,389.32 / $1,577.30 / $2,606.90
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,333.31 / $1,588.81 / $2,479.38
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$107.11 / $711.97 / $1,050.45
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,904.80 / $3,669.11 / $5,334.93
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,909.03 / $2,885.48 / $3,303.63
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$871.00 / $4,455.00 / $7,048.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,066.92 / $1,282.80 / $2,336.41