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Utah rates for HCPCS 64890

Nerve Graft 1 Strand Hand/Foot <4 Cm

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,538.53 / $3,084.00 / $4,707.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,080.81 / $1,538.53 / $5,633.03
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,095.11 / $1,544.82 / $3,056.49
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$92.72 / $695.77 / $1,004.14
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
$1,756.25 / $1,996.91 / $2,988.06
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,202.00 / $7,693.00 / $13,847.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$937.20 / $1,155.89 / $1,949.90