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Utah rates for HCPCS 63194

Lam Cordotomy Sctj 1 Spinothalmic Tract Cervical

Insurance Carrier
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,184.76 / $4,184.76 / $4,599.10
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,451.14 / $4,451.14 / $4,865.30