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California rates for HCPCS 64772

Transection or avulsion of other spinal nerve, extradural

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,865.00 / $5,505.00 / $16,713.00
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,137.00 / $5,863.00 / $11,400.00
Blue Shield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$66.00 / $100.00 / $6,919.63
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,816.42 / $1,819.64 / $3,253.30
Contra Costa Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$405.43 / $650.82 / $878.61
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$535.15 / $730.29 / $1,308.14
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,133.08 / $5,246.20 / $16,394.00
Lucent Health
Facility/Professional
Facility
Modifier
AS
Low / Median / High Price
$127.48 / $497.27 / $497.27
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$556.65 / $712.97 / $959.65
Providence
Facility/Professional
Facility
Modifier
AS
Low / Median / High Price
$63.12 / $63.12 / $182.05
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,523.00 / $7,384.00 / $15,471.00