go back

Utah rates for HCPCS 64897

Nerve Graft Mlt Strands Arm/Leg <4 Cm

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,815.20 / $4,387.00 / $9,832.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,265.76 / $1,815.20 / $6,606.12
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,269.25 / $1,795.46 / $3,580.86
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$123.43 / $796.07 / $1,187.60
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
$2,057.10 / $2,337.61 / $3,465.64
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
$1,100.40 / $1,340.80 / $2,164.13