go back

Utah rates for HCPCS 64553

Prq Impltj Neurostimulator Eltrd Cranial Nerve

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$226.54 / $2,910.00 / $4,387.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$226.54 / $378.78 / $6,159.82
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$198.28 / $426.83 / $4,546.82
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$313.87 / $2,663.86 / $3,597.48
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$18,949.27 / $25,828.11 / $37,638.96
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$431.32 / $744.95 / $7,137.08
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,028.00 / $9,753.00 / $75,254.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$186.30 / $1,839.99 / $3,476.71