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Utah rates for HCPCS 63170

Lam W/Myelotomy Cervical/Thoracic/Thoracolumbar

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,254.53 / $3,038.00 / $4,387.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,587.80 / $2,254.53 / $7,989.91
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,609.27 / $2,229.71 / $3,577.67
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$137.14 / $998.27 / $1,525.59
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,605.01 / $2,995.05 / $4,602.60
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,292.00 / $4,455.00 / $13,847.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,377.94 / $1,700.16 / $2,711.05