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Utah rates for HCPCS 64891

Nerve Graft 1 Strand Hand/Foot >4 Cm

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,670.03 / $3,084.00 / $4,707.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,148.69 / $1,670.03 / $5,989.94
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,166.38 / $1,608.95 / $3,247.52
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$112.56 / $823.02 / $1,109.61
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
$1,866.60 / $2,122.98 / $3,184.37
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,912.00 / $7,693.00 / $13,847.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$976.72 / $1,175.71 / $1,917.84