go back

Utah rates for HCPCS 64718

Neuroplasty and/or transposition; ulnar nerve at elbow

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$977.24 / $3,801.89 / $6,165.95
Aetna
Facility/Professional
Facility
Modifier
50
Low / Median / High Price
$2,884.03 / $2,884.03 / $2,884.03
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$512.86 / $812.83 / $2,630.27
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$512.86 / $794.33 / $1,412.54
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.36 / $33.11 / $1,548.82
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,884.03 / $3,388.44 / $7,585.78
Regence BlueShield
Facility/Professional
Facility
Modifier
50
Low / Median / High Price
$4,365.16 / $5,128.61 / $11,481.54
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$933.25 / $1,148.15 / $1,778.28
Select Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$588.84 / $1,230.27 / $1,778.28
U of Utah Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$776.25 / $933.25 / $1,445.44
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,995.26 / $5,128.61 / $7,079.46
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$501.19 / $616.60 / $1,000.00