go back

Utah rates for HCPCS 62252

Reprgrmg Programmable Cerebrospinal Shunt

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$66.81 / $66.81 / $66.81
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$79.81 / $128.88 / $192.13
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$43.40 / $66.81 / $105.55
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$101.94 / $120.17 / $242.08
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$55.33 / $65.94 / $130.31
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$24.84 / $38.81 / $101.24
Regence BlueShield
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$495.90 / $495.90 / $495.90
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$143.36 / $196.14 / $330.55
Regence BlueShield
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$75.83 / $112.05 / $177.98
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$76.23 / $91.00 / $166.32
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$38.57 / $47.95 / $98.68