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Utah rates for HCPCS 64788

Exc Neurofibroma/Neurolemmoma Cutan Nrv

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$556.65 / $4,976.56 / $8,738.23
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$407.44 / $556.65 / $2,111.07
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$410.65 / $555.02 / $1,124.28
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$56.50 / $295.26 / $387.44
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,904.80 / $3,669.11 / $5,334.93
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$661.00 / $765.06 / $1,114.86
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
$342.76 / $429.20 / $681.04