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Washington 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
$1,479.11 / $5,623.41 / $18,620.87
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$630.96 / $758.58 / $2,630.27
Kaiser Permanente
Facility/Professional
Facility
Modifier
Low / Median / High Price
$776.25 / $1,288.25 / $2,454.71
Pacific Source
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,174.90 / $1,479.11 / $1,621.81
Premera BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,071.52 / $1,071.52 / $1,122.02
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,890.45 / $5,495.41 / $10,471.29
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,995.26 / $6,760.83 / $11,220.18