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Utah rates for HCPCS 63610

Stereotactic stimulation of spinal cord, percutaneous, separate procedure not followed by other surgery

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,202.26 / $3,162.28 / $4,570.88
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$501.19 / $707.95 / $2,951.21
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$446.68 / $676.08 / $1,548.82
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.36 / $33.11 / $436.52
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,884.03 / $3,388.44 / $7,585.78
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$891.25 / $1,071.52 / $1,202.26
Select Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$524.81 / $1,230.27 / $1,819.70
U of Utah Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$741.31 / $870.96 / $1,288.25
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,698.24 / $4,466.84 / $5,128.61
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$398.11 / $588.84 / $1,318.26