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Utah rates for HCPCS 62190

Creation of shunt; subarachnoid/subdural-atrial, -jugular, -auricular

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,318.26 / $3,388.44 / $6,025.60
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$776.25 / $1,023.29 / $2,137.96
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$977.24 / $1,230.27 / $2,041.74
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.36 / $33.11 / $2,630.27
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,445.44 / $1,737.80 / $5,370.32
Select Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$912.01 / $2,238.72 / $2,884.03
U of Utah Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,412.54 / $1,659.59 / $2,290.87
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
$831.76 / $1,047.13 / $1,905.46