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Missouri 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
$1,122.02 / $3,235.94 / $7,413.10
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,238.72 / $4,677.35 / $8,912.51
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$724.44 / $1,288.25 / $6,165.95
Medica
Facility/Professional
Facility
Modifier
AS
Low / Median / High Price
$204.17 / $501.19 / $501.19
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,479.11 / $2,398.83 / $4,677.35