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Utah rates for HCPCS 64585

Revj/Rmvl Perph Neurostimulator Electrode Array

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$214.67 / $2,910.00 / $4,387.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$142.31 / $249.59 / $760.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$169.78 / $259.44 / $459.25
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$154.84 / $186.96 / $237.32
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,251.88 / $6,548.64 / $9,401.51
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$239.67 / $389.57 / $642.99
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,155.00 / $6,097.00 / $8,267.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$211.50 / $296.10 / $483.45