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Missouri 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
$1,098.00 / $3,214.00 / $8,000.00
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,088.00 / $4,247.00 / $9,663.00
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$691.46 / $1,134.34 / $6,489.99
Medica
Facility/Professional
Facility
Modifier
AS
Low / Median / High Price
$194.51 / $194.51 / $497.27
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,694.00 / $3,018.00 / $6,526.11