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Utah rates for HCPCS 64721

Neuroplasty and/or transposition; median nerve at carpal tunnel

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,318.26 / $3,548.13 / $5,888.44
Aetna
Facility/Professional
Facility
Modifier
50
Low / Median / High Price
$1,778.28 / $5,128.61 / $7,079.46
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$363.08 / $549.54 / $2,290.87
Aetna
Facility/Professional
Professional
Modifier
50
Low / Median / High Price
$616.60 / $1,230.27 / $1,479.11
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$380.19 / $575.44 / $1,000.00
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.36 / $33.11 / $1,230.27
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
$691.83 / $851.14 / $1,230.27
Select Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$467.74 / $954.99 / $1,258.93
U of Utah Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$575.44 / $724.44 / $1,047.13
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
$363.08 / $457.09 / $691.83