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Utah rates for HCPCS 64892

Nerve Graft 1 Strand Arm/Leg <4 Cm

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,492.67 / $3,084.00 / $4,707.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,051.19 / $1,492.67 / $5,479.25
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,054.10 / $1,508.36 / $2,951.58
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$92.72 / $683.54 / $1,000.86
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
$1,707.94 / $1,944.02 / $2,901.18
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
$911.09 / $1,110.11 / $1,756.82