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Indiana rates for HCPCS 64719

Neuroplasty &/Transposition Ulnar Nerve Wrist

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$381.43 / $1,750.49 / $7,212.00
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,943.00 / $5,126.00 / $8,240.00
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$381.47 / $523.59 / $785.39
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,239.56 / $1,239.56 / $1,469.38
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,138.00 / $6,032.00 / $10,413.00