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Utah rates for HCPCS 64740

Transection/Avulsion Lingual Nerve

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$646.98 / $3,084.00 / $4,707.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$455.06 / $646.98 / $2,514.25
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$464.58 / $656.24 / $964.84
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$56.28 / $319.42 / $442.46
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
$747.60 / $847.47 / $1,235.39
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
$391.50 / $486.00 / $771.05