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Utah rates for HCPCS 62304

Myelography Via Lumbar Inject Rs&I Lumbosacral

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$180.73 / $1,399.22 / $4,312.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$100.31 / $222.92 / $633.21
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$149.66 / $221.33 / $461.95
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$161.69 / $201.06 / $261.03
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,183.54 / $1,518.13 / $2,212.35
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$199.00 / $378.32 / $633.38
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
$226.38 / $280.20 / $436.20