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Utah rates for HCPCS 64721

Neuroplasty &/Transpos Median Nrv Carpal Tunne

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$590.95 / $3,577.08 / $5,432.62
Aetna
Facility/Professional
Facility
Modifier
50
Low / Median / High Price
$2,162.12 / $5,128.05 / $7,110.98
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$361.94 / $477.15 / $2,150.00
Aetna
Facility/Professional
Professional
Modifier
50
Low / Median / High Price
$206.57 / $633.47 / $1,421.28
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$434.03 / $585.89 / $961.98
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$56.50 / $329.32 / $444.40
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
$725.78 / $836.40 / $1,158.34
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
$363.66 / $452.71 / $739.85