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Washington, DC rates for HCPCS 64857

Suture of major peripheral nerve, arm or leg, except sciatic; without transposition

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,079.85 / $4,004.00 / $4,601.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$967.34 / $1,079.85 / $2,613.26
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,134.92 / $1,134.92 / $4,131.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$980.42 / $1,498.32 / $2,735.79
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,153.44 / $2,404.66 / $2,404.66
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,261.00 / $4,165.00 / $26,408.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$823.38 / $1,286.35 / $2,846.21