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Utah rates for HCPCS 64520

Injection Anes Lmbr/Thrc Paravertbrl Sympathetic

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$110.92 / $2,833.00 / $4,387.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$79.64 / $189.37 / $438.54
Aetna
Facility/Professional
Professional
Modifier
50
Low / Median / High Price
$369.05 / $369.05 / $369.05
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$94.59 / $191.63 / $382.59
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$140.87 / $176.45 / $225.87
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,361.81 / $1,728.22 / $2,518.51
Regence BlueShield
Facility/Professional
Facility
Modifier
50
Low / Median / High Price
$2,042.72 / $2,592.33 / $3,777.77
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$140.59 / $266.45 / $482.53
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
$173.25 / $225.34 / $343.20