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Utah rates for HCPCS 78650

Cerebrospinal Fluid Leak Detection&Localizatio

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$353.14 / $353.14 / $353.14
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$353.14 / $353.14 / $353.14
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,370.41 / $1,675.77 / $5,305.16
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$275.89 / $370.78 / $520.85
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.60 / $203.21 / $274.63
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,161.82 / $2,732.92 / $4,232.76
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$368.32 / $646.32 / $687.03
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$242.04 / $342.00 / $473.41