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Utah rates for HCPCS 64902

Nerve Graft Each Nerve Multiple Strands

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,038.81 / $3,084.00 / $4,707.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$682.63 / $1,038.81 / $3,584.55
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$682.59 / $970.96 / $1,885.43
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$474.47 / $578.70 / $722.23
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,111.18 / $1,250.91 / $1,800.04
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
$596.21 / $742.96 / $1,155.42