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Ohio 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
$1,224.55 / $3,374.00 / $9,534.00
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,145.00 / $2,792.00 / $8,800.00
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$713.05 / $915.14 / $1,132.69
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$21,571.00 / $21,571.00 / $21,571.00
Medical Mutual of Ohio
Facility/Professional
Facility
Modifier
Low / Median / High Price
$910.85 / $910.85 / $910.85
Medical Mutual of Ohio
Facility/Professional
Facility
Modifier
AS
Low / Median / High Price
$90.56 / $90.56 / $90.56
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,448.24 / $3,724.00 / $6,238.00