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Utah rates for HCPCS 64822

Sympathectomy Ulnar Artery

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$962.59 / $3,084.00 / $4,707.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$702.99 / $962.59 / $3,643.57
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$705.59 / $960.74 / $1,950.69
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$56.50 / $501.17 / $667.96
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,684.92 / $6,137.22 / $8,943.69
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,140.82 / $1,306.26 / $1,859.43
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,155.00 / $6,097.00 / $8,267.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$600.98 / $742.38 / $1,212.00