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Utah rates for HCPCS 64722

Decompression; unspecified nerve(s) (specify)

Facilitymedian $3,388 · 10th–90th $2,239–$4,6770%10%20%10th90th$3,388Professionalmedian $617 · 10th–90th $347–$1,4450%10%10th90th$617$50.0$100.0$200.0$500.0$1.0K$2.0K$5.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$478.63 / $3,162.28 / $4,570.88
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$346.74 / $616.60 / $1,479.11
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$302.00 / $489.78 / $812.83
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$32.36 / $33.11 / $707.95
Regence BlueShield
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2,818.38 / $3,801.89 / $5,888.44
Regence BlueShield
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$562.34 / $691.83 / $1,071.52
Select Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$398.11 / $691.83 / $870.96
U of Utah Health Plan
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$354.81 / $602.56 / $812.83
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$870.96 / $4,466.84 / $7,079.46
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$302.00 / $371.54 / $616.60