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Utah rates for HCPCS 64681

Dstrj Nulyt W/Worad Mntr Suprior Hypogstr Plexus

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$283.48 / $3,038.00 / $4,626.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$221.31 / $471.17 / $1,503.76
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$254.15 / $385.08 / $799.29
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$28.59 / $303.36 / $410.05
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
$360.88 / $637.50 / $995.51
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,106.00 / $1,649.00 / $2,824.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$349.76 / $499.71 / $886.59