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Utah rates for HCPCS 62284

Injection procedure for myelography and/or computed tomography, lumbar

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$295.12 / $3,019.95 / $4,570.88
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$79.43 / $190.55 / $512.86
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$102.33 / $204.17 / $338.84
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.36 / $33.11 / $134.90
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$134.90 / $263.03 / $501.19
Select Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$117.49 / $181.97 / $398.11
U of Utah Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$123.03 / $269.15 / $380.19
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,071.52 / $4,466.84 / $5,128.61
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$85.11 / $169.82 / $316.23