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Utah rates for HCPCS 64624

Destruction Neurolytic Agt Genicular Nerve W/Img

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$211.43 / $2,910.00 / $4,387.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$144.22 / $391.77 / $961.38
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$175.07 / $389.79 / $682.43
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$27.68 / $274.94 / $376.38
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,904.80 / $3,669.11 / $5,334.93
Regence BlueShield
Facility/Professional
Facility
Modifier
50
Low / Median / High Price
$4,357.20 / $5,503.67 / $8,002.40
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$241.33 / $457.36 / $984.30
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
$335.53 / $439.66 / $671.06