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Utah rates for HCPCS 63196

Lam Cordotomy Sctj Both Spinothalmic Tracts Crv

Insurance Carrier
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,646.42 / $4,646.42 / $5,106.46
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,780.80 / $3,780.80 / $4,132.59
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,407.08 / $1,980.00 / $2,647.72