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Ohio 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
$1,000.00 / $3,401.00 / $10,635.00
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,145.00 / $2,792.00 / $8,800.00
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$683.10 / $876.71 / $1,164.38
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$21,571.00 / $21,571.00 / $21,571.00
Medical Mutual of Ohio
Facility/Professional
Facility
Modifier
Low / Median / High Price
$871.56 / $871.56 / $871.56
Medical Mutual of Ohio
Facility/Professional
Facility
Modifier
AS
Low / Median / High Price
$86.57 / $86.57 / $86.57
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,233.00 / $4,223.00 / $6,502.00