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Utah rates for HCPCS 69725

Dcmprn Nrv Intratemporal Medial Geniculate

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,177.29 / $4,387.00 / $9,078.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,177.29 / $2,177.29 / $3,348.89
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,198.32 / $2,738.73 / $5,325.98
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$122.33 / $1,175.58 / $1,745.02
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8,413.68 / $11,103.62 / $16,181.16
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,443.81 / $3,219.93 / $4,726.66
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
$1,761.54 / $2,117.69 / $3,843.36