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Utah rates for HCPCS 64634

Dstr Nrolytc Agnt Parverteb Fct Addl Crvcl/Thora

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$99.37 / $3,038.00 / $5,268.00
Aetna
Facility/Professional
Facility
Modifier
50
Low / Median / High Price
$951.40 / $1,970.59 / $5,546.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$66.04 / $253.34 / $905.74
Aetna
Facility/Professional
Professional
Modifier
50
Low / Median / High Price
$93.56 / $161.93 / $576.98
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$81.67 / $191.98 / $418.58
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$160.06 / $205.27 / $258.90
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$110.15 / $208.75 / $482.71
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
$165.54 / $229.79 / $331.92