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Utah rates for HCPCS 64763

Trnsxj/Avlsn Obturat Nrv Xpelv W/Wo Tenotomy

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$746.11 / $3,038.00 / $4,387.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$520.39 / $746.11 / $2,655.14
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$518.47 / $747.72 / $1,094.54
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$56.50 / $375.05 / $503.24
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
$847.66 / $959.40 / $1,406.53
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
$446.10 / $565.04 / $866.66