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Utah rates for HCPCS 64876

Suture of nerve; requiring shortening of bone of extremity (List separately in addition to code for nerve suture)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$281.84 / $5,888.44 / $8,511.38
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$169.82 / $239.88 / $1,023.29
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$169.82 / $263.03 / $407.38
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.36 / $33.11 / $147.91
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$302.00 / $389.05 / $549.54
Select Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$165.96 / $354.81 / $478.63
U of Utah Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$234.42 / $295.12 / $426.58
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
$162.18 / $208.93 / $316.23