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Utah rates for HCPCS 64480

Njx Aa&/Strd Tfrml Epi Cervical/Thoracic Ea Addl

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$95.55 / $2,634.00 / $4,387.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$60.54 / $132.91 / $352.16
Aetna
Facility/Professional
Professional
Modifier
50
Low / Median / High Price
$144.25 / $144.25 / $144.25
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$74.98 / $121.88 / $226.96
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$93.54 / $118.80 / $148.82
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$100.19 / $195.96 / $297.10
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,078.00 / $1,556.00 / $4,495.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$102.08 / $129.96 / $208.66