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Utah rates for HCPCS 64862

Suture Lumbar Plexus

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,098.76 / $4,387.00 / $8,133.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,372.45 / $2,098.76 / $7,167.27
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,375.24 / $1,949.79 / $2,977.30
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$123.43 / $858.79 / $1,283.59
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
$2,230.59 / $2,535.03 / $3,782.16
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
$1,180.58 / $1,512.40 / $2,340.90