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Utah rates for HCPCS 64484

Njx Aa&/Strd Tfrml Epi Lumbar/Sacral Ea Addl

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$148.66 / $1,007.38 / $4,312.00
Aetna
Facility/Professional
Facility
Modifier
50
Low / Median / High Price
$693.35 / $693.35 / $693.35
Aetna
Facility/Professional
Facility
Modifier
53
Low / Median / High Price
$15.09 / $15.09 / $29.73
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$50.96 / $112.11 / $557.36
Aetna
Facility/Professional
Professional
Modifier
50
Low / Median / High Price
$69.93 / $122.49 / $273.70
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$62.47 / $101.71 / $191.91
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$70.45 / $89.98 / $110.94
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$84.69 / $159.94 / $229.73
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
$85.84 / $118.40 / $178.61