go back

Utah rates for HCPCS 62264

Prq Lysis Epidural Adhesions Mult Sessions 1 Day

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$330.90 / $2,910.00 / $4,387.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$240.87 / $452.54 / $1,283.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$283.48 / $450.30 / $763.63
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$28.59 / $302.43 / $390.88
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,361.81 / $1,728.22 / $2,518.51
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$403.51 / $688.47 / $1,102.92
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,106.00 / $1,649.00 / $2,824.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$375.90 / $460.32 / $736.94