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Utah rates for HCPCS 63664

Revj Incl Rplcmt Nstim Eltrd Plt/Pdle Incl Fluor

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,057.35 / $3,038.00 / $4,387.00
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$18,949.27 / $25,828.11 / $37,638.96
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,028.00 / $9,753.00 / $15,824.00