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Utah rates for HCPCS 64417

Injection Aa&/Strd Axillary Nerve W/Img Gdn

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$99.47 / $2,767.00 / $4,387.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$60.25 / $136.47 / $343.25
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$76.34 / $137.40 / $249.46
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$95.22 / $118.80 / $148.82
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,361.81 / $1,728.22 / $2,518.51
Regence BlueShield
Facility/Professional
Facility
Modifier
50
Low / Median / High Price
$2,042.72 / $2,592.33 / $3,777.77
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$105.17 / $214.90 / $340.04
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,106.00 / $1,649.00 / $2,824.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$116.16 / $144.10 / $225.62