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Utah rates for HCPCS 64734

Transection/Avulsion Infraorbital Nerve

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$595.08 / $3,084.00 / $4,707.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$513.39 / $595.08 / $2,565.30
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$431.33 / $615.70 / $1,098.23
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$56.50 / $371.27 / $501.62
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
$845.18 / $971.70 / $1,402.72
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$871.00 / $4,455.00 / $4,912.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$382.47 / $522.72 / $850.19