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Hawaii rates for HCPCS 64856

Suture of major peripheral nerve, arm or leg, except sciatic; including transposition

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,157.88 / $2,747.00 / $3,883.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,032.75 / $1,032.75 / $1,032.75
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$978.53 / $1,253.96 / $1,504.76
HMSA
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,333.43 / $1,498.15 / $5,851.00
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,103.49 / $1,203.80 / $1,404.44
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,912.00 / $2,912.00 / $2,912.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,021.46 / $1,253.96 / $1,621.83
University Health Alliance
Facility/Professional
Professional
Modifier
Low / Median / High Price
$906.18 / $2,000.00 / $5,304.00