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Utah rates for HCPCS 64896

Nerve Graft Mlt Strands Hand/Foot > 4 Cm

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,201.73 / $4,387.00 / $8,133.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,427.41 / $2,201.73 / $7,455.11
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,573.79 / $2,113.48 / $4,026.57
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$123.43 / $908.63 / $1,375.08
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
$2,320.07 / $2,636.51 / $4,566.10
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
$1,242.29 / $1,532.18 / $2,443.19