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Utah rates for HCPCS 64722

Decompression Unspecified Nerve

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$484.04 / $3,038.00 / $4,387.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$316.81 / $484.04 / $1,445.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$373.43 / $493.77 / $811.41
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$56.28 / $275.79 / $378.25
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,904.80 / $3,669.11 / $5,334.93
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$596.34 / $694.95 / $1,009.08
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
$310.50 / $382.95 / $600.29