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Utah rates for HCPCS L0859

Addition To Halo Procedure Magnetic Resonance Image Compatible Systems Rings And Pins Any Material

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$442.03 / $442.03 / $442.03
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$442.03 / $468.69 / $3,959.86
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$969.19 / $969.19 / $969.19
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$707.51 / $707.51 / $1,607.04
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$828.25 / $1,335.89 / $1,736.65
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,602.35 / $1,787.04 / $1,787.04
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,017.60 / $1,280.95 / $1,921.43
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$526.04 / $678.59 / $823.47