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Utah rates for HCPCS 64620

Dstrj Neurolytic Agent Intercostal Nerve

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$240.82 / $2,870.00 / $4,387.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$175.24 / $240.82 / $926.08
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$187.53 / $273.33 / $394.17
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$129.88 / $159.44 / $201.55
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,361.81 / $1,728.22 / $2,518.51
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$294.45 / $388.68 / $549.44
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$658.00 / $2,790.00 / $4,912.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$181.54 / $239.01 / $359.59