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Utah rates for HCPCS 64611

Chemodenerv Parotid&Submandibl Salivary Glnds

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$128.37 / $2,910.00 / $4,387.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$86.54 / $129.79 / $624.00
Aetna
Facility/Professional
Professional
Modifier
52
Low / Median / High Price
$130.24 / $130.24 / $130.24
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$107.82 / $149.34 / $244.59
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$77.42 / $101.09 / $134.27
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$432.21 / $561.58 / $818.38
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$189.86 / $246.61 / $315.17
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,078.00 / $1,556.00 / $4,495.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$100.30 / $124.92 / $204.73