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Utah rates for HCPCS 64454

Injection Aa&/Strd Genicular Nrv Branches W/Img

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$118.42 / $2,870.00 / $4,387.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$82.10 / $210.22 / $478.08
Aetna
Facility/Professional
Professional
Modifier
50
Low / Median / High Price
$630.38 / $630.38 / $630.38
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$98.12 / $219.23 / $374.58
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$163.14 / $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
$135.61 / $257.01 / $516.02
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
$185.59 / $223.86 / $363.01