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Utah rates for HCPCS 64861

Suture Brachial Plexus

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,836.55 / $4,387.00 / $8,133.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,516.01 / $1,836.55 / $7,615.22
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,433.59 / $1,938.73 / $4,094.22
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$137.14 / $958.10 / $1,463.06
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
$2,486.42 / $2,859.14 / $3,494.73
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
$1,189.98 / $1,574.29 / $2,405.15