go back

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
$1,496.43 / $3,038.00 / $4,707.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,051.55 / $1,496.43 / $5,515.45
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,057.83 / $1,499.29 / $2,973.91
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$92.72 / $683.54 / $1,000.86
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9,433.62 / $12,630.47 / $18,406.21
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,714.53 / $1,947.71 / $2,881.72
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,912.00 / $7,693.00 / $13,847.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$913.20 / $1,113.59 / $1,795.96