go back

Connecticut rates for HCPCS 64857

Sutr Prph Nrv Arm/Leg Xcp Sciatic W/O Trpos

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,007.52 / $5,194.00 / $8,031.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$943.18 / $1,242.56 / $2,706.72
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,410.00 / $6,763.00 / $13,227.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$920.52 / $1,763.15 / $2,412.71
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$737.00 / $8,465.35 / $8,465.35
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,407.61 / $1,891.37 / $2,932.82
ConnectiCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,302.00 / $4,390.00 / $4,645.51
ConnectiCare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$906.36 / $1,358.61 / $1,865.66
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,644.00 / $8,468.00 / $13,943.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$938.24 / $1,668.43 / $3,185.06