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North Carolina 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
$1,202.26 / $6,606.93 / $7,079.46
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$524.81 / $524.81 / $524.81
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,230.27 / $1,230.27 / $1,819.70
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$776.25 / $1,000.00 / $1,513.56
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,659.59 / $6,918.31 / $10,471.29
Wellcare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,495.41 / $5,495.41 / $28,840.32
Wellcare
Facility/Professional
Facility
Modifier
AS
Low / Median / High Price
$549.54 / $549.54 / $549.54