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Utah rates for HCPCS 64901

Nerve Graft Each Nerve 1 Strand

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$900.15 / $3,084.00 / $4,707.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$589.53 / $900.15 / $3,094.17
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$589.23 / $846.91 / $1,628.73
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$403.22 / $491.02 / $613.36
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$959.65 / $1,081.17 / $1,554.81
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,078.00 / $1,556.00 / $4,495.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$515.20 / $662.01 / $1,006.10