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Utah rates for HCPCS 61796

Stereotactic Radiosurgery 1 Simple Cranial Les

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,383.03 / $1,383.03 / $1,383.03
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$990.79 / $1,383.03 / $2,352.10
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,021.52 / $1,432.72 / $2,943.89
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$107.11 / $635.59 / $961.12
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,724.16 / $2,479.26 / $3,893.91
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,028.00 / $9,753.00 / $15,824.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$933.22 / $1,194.72 / $2,105.28