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Utah rates for HCPCS 64450

Injection Aa&/Strd Other Peripheral Nerve/Branch

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$324.38 / $1,030.02 / $3,337.58
Aetna
Facility/Professional
Facility
Modifier
50
Low / Median / High Price
$951.33 / $951.34 / $1,487.51
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$57.10 / $113.26 / $348.00
Aetna
Facility/Professional
Professional
Modifier
50
Low / Median / High Price
$83.28 / $257.77 / $657.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$53.62 / $94.90 / $148.41
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
$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
$69.19 / $123.81 / $210.05
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
$65.40 / $93.31 / $140.74