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Utah rates for HCPCS 64895

Nerve Graft Mlt Strands Hand/Foot <4 Cm

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,926.68 / $4,387.00 / $8,133.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,325.04 / $1,926.68 / $6,913.29
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,351.33 / $1,857.10 / $3,734.05
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$122.65 / $823.02 / $1,252.06
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
$2,153.73 / $2,444.01 / $3,696.02
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
$1,151.99 / $1,459.19 / $2,317.06