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Idaho rates for HCPCS 64713

Neuroplasty, major peripheral nerve, arm or leg, open; brachial plexus

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,621.81 / $5,495.41 / $5,754.40
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,258.93 / $2,818.38 / $5,011.87
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,122.02 / $1,122.02 / $1,122.02
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$741.31 / $1,258.93 / $2,398.83
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,467.37 / $4,365.16 / $6,309.57
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,348.96 / $5,495.41 / $12,302.69