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Utah rates for HCPCS 64874

Suture of nerve; requiring extensive mobilization, or transposition of nerve (List separately in addition to code for nerve suture)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$251.19 / $5,888.44 / $8,511.38
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$147.91 / $213.80 / $891.25
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$162.18 / $239.88 / $371.54
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.36 / $33.11 / $338.84
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$263.03 / $338.84 / $512.86
Select Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$144.54 / $316.23 / $426.58
U of Utah Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$204.17 / $263.03 / $407.38
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
$147.91 / $181.97 / $295.12