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Utah rates for HCPCS 64580

Open implantation of neurostimulator electrode array; neuromuscular

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$428.24 / $3,038.00 / $4,387.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$317.26 / $428.24 / $1,612.72
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$310.67 / $427.63 / $685.59
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$53.47 / $205.45 / $286.07
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$33,765.40 / $42,102.54 / $60,444.24
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$516.05 / $586.71 / $825.83
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,340.00 / $10,927.00 / $75,254.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$264.18 / $322.92 / $528.94