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Utah rates for HCPCS 64405

Injection Aa&/Strd Greater Occipital Nerve

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$113.49 / $2,164.00 / $4,312.00
Aetna
Facility/Professional
Facility
Modifier
50
Low / Median / High Price
$785.27 / $841.86 / $1,316.35
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$53.86 / $106.12 / $416.00
Aetna
Facility/Professional
Professional
Modifier
50
Low / Median / High Price
$104.43 / $204.99 / $778.50
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$63.00 / $103.08 / $151.66
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$47.91 / $61.16 / $75.03
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$432.21 / $561.58 / $818.38
Regence BlueShield
Facility/Professional
Facility
Modifier
50
Low / Median / High Price
$648.32 / $842.37 / $1,227.57
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$87.45 / $139.60 / $267.70
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$658.00 / $4,445.00 / $4,912.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$66.09 / $103.51 / $165.50