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Utah rates for HCPCS 64611

Chemodenervation of parotid and submandibular salivary glands, bilateral

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$141.25 / $3,162.28 / $4,570.88
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$93.33 / $141.25 / $630.96
Aetna
Facility/Professional
Professional
Modifier
52
Low / Median / High Price
$43.65 / $128.82 / $309.03
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$102.33 / $144.54 / $275.42
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.36 / $33.11 / $213.80
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$436.52 / $512.86 / $1,148.15
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$177.83 / $229.09 / $323.59
Select Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$120.23 / $204.17 / $263.03
U of Utah Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$158.49 / $194.98 / $288.40
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,071.52 / $4,466.84 / $5,128.61
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$91.20 / $120.23 / $181.97