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Utah rates for HCPCS 64772

Transection/Avulsion Oth Spinal Nrv Xdrl

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$810.74 / $3,977.00 / $6,902.18
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,904.80 / $3,669.11 / $5,334.93
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,981.00 / $3,613.00 / $7,048.00