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Utah rates for HCPCS 64494

Njx Dx/Ther Agt Pvrt Facet Jt Lmbr/Sac 2nd Level

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$75.92 / $1,308.19 / $5,743.00
Aetna
Facility/Professional
Facility
Modifier
50
Low / Median / High Price
$571.63 / $598.87 / $6,612.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$50.63 / $98.14 / $536.59
Aetna
Facility/Professional
Professional
Modifier
50
Low / Median / High Price
$69.59 / $144.05 / $494.96
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$62.07 / $98.86 / $153.00
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$70.11 / $89.98 / $110.73
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$83.58 / $143.05 / $229.31
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
$77.23 / $96.14 / $151.81