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Utah rates for HCPCS 64913

Nerve Repair W/Nerve Allograft Ea Addl Strand

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$231.75 / $3,038.00 / $4,387.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$184.90 / $231.75 / $422.38
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$207.61 / $246.93 / $341.28
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$140.61 / $164.36 / $213.67
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$283.39 / $359.23 / $437.57
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
$154.36 / $185.76 / $371.52