go back

Utah rates for HCPCS 64430

Injection Aa&/Strd Pudendal Nerve

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$117.85 / $2,922.00 / $5,546.00
Aetna
Facility/Professional
Facility
Modifier
50
Low / Median / High Price
$5,546.00 / $5,546.00 / $5,546.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$53.98 / $117.85 / $290.14
Aetna
Facility/Professional
Professional
Modifier
50
Low / Median / High Price
$290.51 / $290.51 / $460.35
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$69.48 / $126.89 / $210.22
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$70.45 / $89.98 / $110.94
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
$90.23 / $181.43 / $368.71
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
$83.47 / $130.02 / $210.00