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Utah rates for HCPCS 64520

Injection, anesthetic agent; lumbar or thoracic (paravertebral sympathetic)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$263.03 / $3,019.95 / $4,570.88
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$81.28 / $208.93 / $537.03
Aetna
Facility/Professional
Professional
Modifier
50
Low / Median / High Price
$229.09 / $229.09 / $371.54
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$85.11 / $190.55 / $380.19
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.36 / $33.11 / $165.96
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,348.96 / $1,584.89 / $3,630.78
Regence BlueShield
Facility/Professional
Facility
Modifier
50
Low / Median / High Price
$2,041.74 / $2,398.83 / $5,370.32
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$134.90 / $269.15 / $489.78
Select Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$95.50 / $251.19 / $602.56
U of Utah Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$112.20 / $316.23 / $436.52
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
$74.13 / $154.88 / $302.00