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Utah rates for HCPCS 64610

Destruction by neurolytic agent, trigeminal nerve; second and third division branches at foramen ovale under radiologic monitoring

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$695.86 / $2,910.00 / $4,387.00
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,904.80 / $3,669.11 / $5,334.93
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,981.00 / $3,613.00 / $7,048.00