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Utah rates for HCPCS 64420

Injection Aa&/Strd Intercostal Nrv Single Lvl

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$94.72 / $2,910.00 / $4,387.00
Aetna
Facility/Professional
Facility
Modifier
50
Low / Median / High Price
$811.87 / $811.87 / $960.72
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$58.32 / $116.32 / $314.64
Aetna
Facility/Professional
Professional
Modifier
50
Low / Median / High Price
$321.81 / $337.89 / $524.54
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$71.43 / $115.84 / $204.66
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$70.45 / $89.98 / $111.24
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,050.47 / $1,326.87 / $1,910.81
Regence BlueShield
Facility/Professional
Facility
Modifier
50
Low / Median / High Price
$1,575.71 / $1,990.31 / $2,866.22
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$95.76 / $173.94 / $296.05
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
$88.08 / $128.21 / $193.74