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Michigan 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
$974.24 / $2,877.00 / $4,933.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,911.81 / $2,243.90 / $3,040.13
BCBS
Facility/Professional
Facility
Modifier
50
Low / Median / High Price
$1,031.60 / $1,407.63 / $2,061.29
Health Alliance Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$685.13 / $2,877.00 / $4,933.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,423.48 / $5,168.33 / $7,355.00