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Hawaii 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
$1,157.88 / $2,747.00 / $3,883.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,096.96 / $1,637.61 / $5,909.96
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,022.10 / $1,306.00 / $1,567.20
HMSA
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,393.49 / $1,565.63 / $5,851.00
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,149.28 / $1,253.76 / $1,462.72
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
$1,064.67 / $1,306.00 / $1,690.08
University Health Alliance
Facility/Professional
Professional
Modifier
Low / Median / High Price
$945.30 / $2,000.00 / $5,304.00