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Utah rates for HCPCS 64718

Neuroplasty &/Transposition Ulnar Nerve Elbow

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$939.57 / $3,622.03 / $6,112.68
Aetna
Facility/Professional
Facility
Modifier
50
Low / Median / High Price
$2,914.93 / $2,914.93 / $2,914.93
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$499.31 / $799.98 / $2,558.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$609.67 / $822.31 / $1,331.14
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$56.50 / $440.07 / $577.19
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,904.80 / $3,669.11 / $5,334.93
Regence BlueShield
Facility/Professional
Facility
Modifier
50
Low / Median / High Price
$4,357.20 / $5,503.67 / $8,002.40
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$986.68 / $1,132.21 / $1,601.56
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,981.00 / $3,613.00 / $7,048.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$514.20 / $628.27 / $1,017.64