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Utah rates for HCPCS 64865

Suture Facial Nerve Infratemporal W/Wo Graft

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,611.90 / $4,387.00 / $8,344.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,089.20 / $1,611.90 / $5,735.22
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,116.54 / $1,606.03 / $3,053.58
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$112.56 / $759.72 / $1,018.20
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
$1,770.53 / $2,004.29 / $3,021.05
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
$938.69 / $1,172.88 / $1,846.10