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Indiana 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
$933.25 / $4,897.79 / $7,244.36
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,344.23 / $8,317.64 / $10,471.29
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$691.83 / $758.58 / $870.96
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,230.27 / $1,230.27 / $1,479.11
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,621.81 / $6,025.60 / $10,715.19