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Utah rates for HCPCS 64510

Injection, anesthetic agent; stellate ganglion (cervical sympathetic)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$186.21 / $3,162.28 / $4,570.88
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$70.79 / $138.04 / $407.38
Aetna
Facility/Professional
Professional
Modifier
50
Low / Median / High Price
$154.88 / $154.88 / $154.88
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$75.86 / $128.82 / $245.47
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.36 / $33.11 / $107.15
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,348.96 / $1,584.89 / $3,630.78
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$123.03 / $218.78 / $338.84
Select Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$87.10 / $162.18 / $380.19
U of Utah Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$100.00 / $204.17 / $281.84
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,096.48 / $2,818.38 / $5,128.61
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$67.61 / $117.49 / $199.53