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Utah rates for HCPCS 64479

Njx Aa&/Strd Tfrml Epi Cervical/Thoracic 1 Level

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$186.64 / $2,082.94 / $4,312.00
Aetna
Facility/Professional
Facility
Modifier
50
Low / Median / High Price
$1,652.92 / $2,508.79 / $2,581.50
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$126.01 / $265.92 / $824.02
Aetna
Facility/Professional
Professional
Modifier
50
Low / Median / High Price
$171.84 / $288.25 / $1,130.83
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$153.06 / $255.53 / $446.82
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$166.08 / $208.79 / $259.12
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
$215.32 / $399.78 / $618.01
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
$217.80 / $290.39 / $442.89