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Utah rates for HCPCS 69740

Sutr Nrv Itprl W/Wo Grf/Dcmprn Lat Geniculate

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,348.93 / $4,387.00 / $9,078.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,348.93 / $1,348.93 / $2,081.31
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,359.56 / $1,708.60 / $3,307.51
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$61.01 / $755.49 / $1,061.13
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
$1,520.42 / $2,004.50 / $2,925.48
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
$1,091.96 / $1,368.40 / $2,382.46