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Utah rates for HCPCS 64736

Transection/Avulsion Mental Nerve

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$612.53 / $3,084.00 / $4,707.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$324.83 / $612.53 / $1,857.69
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$400.23 / $538.62 / $701.62
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$45.87 / $223.06 / $315.50
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
$536.16 / $613.16 / $1,121.17
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,689.00 / $2,312.00 / $4,640.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$300.30 / $400.40 / $622.51