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Utah rates for HCPCS 64738

Transection/Avulsion Inf Alveolar Nrv W/Osteo

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$733.26 / $3,084.00 / $4,707.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$444.23 / $733.26 / $2,415.35
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$462.98 / $665.35 / $946.53
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$56.28 / $331.34 / $447.80
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
$730.25 / $830.25 / $1,321.27
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
$389.99 / $493.99 / $766.99