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Utah rates for HCPCS 63172

Lam W/Drg Intrmedullary Cyst/Syrinx Subarachnoid

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,006.90 / $3,038.00 / $4,387.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,407.07 / $2,006.90 / $6,997.60
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,432.54 / $2,006.58 / $3,794.74
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$136.86 / $883.39 / $1,370.45
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,308.55 / $2,655.57 / $4,096.77
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,312.00 / $2,446.00 / $13,847.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,197.23 / $1,504.42 / $2,391.44