go back

Utah rates for HCPCS 64517

Injection Anes Superior Hypogastric Plexus

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$170.12 / $3,038.00 / $4,626.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$125.08 / $192.20 / $662.69
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$146.40 / $211.45 / $350.67
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$119.47 / $151.15 / $183.27
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,361.81 / $1,728.22 / $2,518.51
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$208.12 / $323.24 / $477.68
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
$158.63 / $196.92 / $322.73