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Utah rates for HCPCS 64856

Sutr Prph Nrv Arm/Leg Xcp Sciatic W/Trpos

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,437.45 / $3,534.00 / $9,738.34
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,011.86 / $1,437.45 / $5,290.65
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,015.67 / $1,433.93 / $2,848.54
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$92.72 / $653.56 / $942.64
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9,433.62 / $12,630.47 / $18,406.21
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,643.16 / $1,863.45 / $2,779.75
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,912.00 / $7,693.00 / $13,847.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$876.90 / $1,059.04 / $1,753.80