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Utah rates for HCPCS 63197

Lam W/Cordotomy Sctj Spinothalamic Trc 1stg Thrc

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,440.92 / $3,038.00 / $4,387.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,703.56 / $2,440.92 / $8,574.76
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,561.94 / $2,436.05 / $4,553.05
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$162.16 / $1,226.32 / $1,670.34
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,795.51 / $3,213.99 / $4,949.64
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
$1,415.69 / $1,777.32 / $2,863.45