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Virginia 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
$1,096.48 / $3,630.78 / $14,791.08
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,090.30 / $3,981.07 / $4,466.84
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$575.44 / $575.44 / $575.44
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$707.95 / $912.01 / $1,071.52
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$977.24 / $1,230.27 / $1,819.70
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$724.44 / $1,000.00 / $1,513.56
Sentara
Facility/Professional
Facility
Modifier
Low / Median / High Price
$691.83 / $977.24 / $6,918.31
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,630.78 / $7,079.46 / $13,803.84