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Utah rates for HCPCS 64451

Injection Aa&/Strd Nerves Nrvtg Si Joint W/Img

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$115.07 / $2,910.00 / $4,387.00
Aetna
Facility/Professional
Facility
Modifier
50
Low / Median / High Price
$1,506.67 / $1,506.67 / $2,925.11
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$80.44 / $201.91 / $454.57
Aetna
Facility/Professional
Professional
Modifier
50
Low / Median / High Price
$220.42 / $298.08 / $298.85
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$95.37 / $216.99 / $385.18
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$166.78 / $208.79 / $259.12
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
$134.51 / $254.91 / $510.99
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
$183.75 / $227.62 / $359.41