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Utah rates for HCPCS 64893

Nerve Graft 1 Strand Arm/Leg >4 Cm

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,598.10 / $3,084.00 / $4,707.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,120.70 / $1,598.10 / $5,843.88
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,137.11 / $1,589.47 / $3,170.91
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$92.72 / $733.54 / $1,068.46
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
$1,821.03 / $2,071.94 / $3,103.02
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
$972.29 / $1,192.83 / $1,912.18