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Utah rates for HCPCS 63746

Rmvl Entire Lumbosarach Shunt Sys W/O Rplcmt

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$829.21 / $3,084.00 / $4,707.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$612.53 / $829.21 / $3,068.43
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$616.30 / $832.01 / $1,716.06
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$56.50 / $441.94 / $599.44
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,904.80 / $3,669.11 / $5,334.93
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,001.93 / $1,156.82 / $1,707.46
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,981.00 / $3,613.00 / $7,048.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$522.00 / $652.69 / $1,026.59