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Utah rates for HCPCS 64872

Suture of nerve; requiring secondary or delayed suture (List separately in addition to code for primary neurorrhaphy)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$162.18 / $3,715.35 / $4,897.79
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$100.00 / $144.54 / $602.56
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$114.82 / $158.49 / $245.47
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.36 / $33.11 / $239.88
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$177.83 / $229.09 / $354.81
Select Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$97.72 / $208.93 / $288.40
U of Utah Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$138.04 / $177.83 / $269.15
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,071.52 / $4,466.84 / $5,128.61
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$100.00 / $125.89 / $194.98