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Utah rates for HCPCS 64872

Suture Nerve Req Secondary/Delayed Suture

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$164.92 / $3,084.00 / $4,707.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$106.00 / $116.72 / $604.91
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$117.34 / $170.56 / $248.22
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$71.61 / $90.12 / $108.86
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$186.66 / $210.33 / $330.23
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,078.00 / $1,556.00 / $4,495.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$99.18 / $125.43 / $200.00