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Utah rates for HCPCS 64605

Dstrj Neurolytic Trigeminal Nrv 2/3 Div Branch

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$482.01 / $2,910.00 / $4,387.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$348.09 / $644.55 / $1,832.79
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$403.22 / $689.40 / $1,319.75
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$84.87 / $647.44 / $858.18
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,904.80 / $3,669.11 / $5,334.93
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$715.12 / $1,063.33 / $1,678.95
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,981.00 / $3,613.00 / $7,048.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$519.90 / $772.44 / $1,069.21