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Idaho rates for HCPCS 64714

Neuroplasty, major peripheral nerve, arm or leg, open; lumbar plexus

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,621.81 / $4,466.84 / $5,495.41
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,258.93 / $2,818.38 / $5,011.87
BCBS
Facility/Professional
Facility
Modifier
50
Low / Median / High Price
$1,862.09 / $3,801.89 / $7,585.78
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,122.02 / $1,122.02 / $1,122.02
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$676.08 / $1,096.48 / $2,187.76
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,467.37 / $4,365.16 / $6,309.57
Regence BlueShield
Facility/Professional
Facility
Modifier
50
Low / Median / High Price
$5,248.07 / $7,244.36 / $9,332.54
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,348.96 / $5,495.41 / $12,302.69