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Utah rates for HCPCS 64561

Prq Impltj Neurostim Eltrd Sacral Nrve W/Imaging

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$583.73 / $4,312.00 / $9,913.43
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$302.13 / $769.02 / $1,832.22
Aetna
Facility/Professional
Professional
Modifier
50
Low / Median / High Price
$516.03 / $516.03 / $1,225.83
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$364.22 / $829.73 / $1,566.88
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$84.87 / $521.95 / $680.53
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10,197.37 / $12,967.40 / $18,897.21
Regence BlueShield
Facility/Professional
Facility
Modifier
50
Low / Median / High Price
$15,296.06 / $19,451.09 / $28,345.82
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$501.47 / $1,150.05 / $2,118.94
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
$655.24 / $866.54 / $1,389.52