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West Virginia 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
$693.48 / $1,181.07 / $1,600.00
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$814.17 / $914.65 / $996.53
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$871.56 / $871.56 / $871.56
Cigna
Facility/Professional
Facility
Modifier
AS
Low / Median / High Price
$86.57 / $86.57 / $86.57
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,474.93 / $5,474.93 / $5,474.93