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Indiana 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
$933.70 / $2,318.00 / $7,212.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$868.78 / $933.70 / $1,232.75
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$678.78 / $678.78 / $678.78
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,310.00 / $6,340.00 / $15,727.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$856.74 / $1,133.09 / $1,563.67
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$905.04 / $1,176.55 / $1,357.56
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$905.04 / $1,073.31 / $1,357.56
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,140.62 / $4,140.62 / $4,908.29
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$929.21 / $1,243.64 / $2,063.71
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,472.00 / $10,113.00 / $15,750.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$818.79 / $1,103.53 / $1,913.13