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Utah rates for HCPCS 63290

Lam Bx/Exc Ispi Neo Xdrl-Idrl Les Any Lvl

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,038.00 / $3,993.73 / $4,387.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,767.21 / $3,993.73 / $13,955.70
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,813.98 / $3,956.54 / $7,366.62
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$247.32 / $1,757.28 / $2,652.44
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,545.17 / $5,212.13 / $8,116.84
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,340.00 / $10,927.00 / $24,613.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,389.60 / $2,919.25 / $4,700.68