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Utah rates for HCPCS 64857

Suture of major peripheral nerve, arm or leg, except sciatic; without transposition

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,513.56 / $3,162.28 / $4,786.30
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$912.01 / $1,412.54 / $5,888.44
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$954.99 / $1,445.44 / $2,454.71
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.36 / $33.11 / $2,238.72
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9,332.54 / $11,220.18 / $26,302.68
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,621.81 / $2,041.74 / $3,548.13
Select Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$933.25 / $1,905.46 / $2,570.40
U of Utah Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,258.93 / $1,659.59 / $2,570.40
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,884.03 / $5,128.61 / $13,803.84
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$891.25 / $1,122.02 / $1,778.28