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Idaho 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
$1,628.00 / $4,500.00 / $7,205.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,042.78 / $1,496.43 / $2,539.38
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,709.09 / $3,709.09 / $3,719.52
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,164.72 / $1,552.96 / $1,844.13
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,001.14 / $1,798.09 / $2,920.29
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,695.62 / $1,849.77 / $2,450.80
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.34 / $1,448.91 / $1,822.82
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,634.13 / $15,806.20 / $20,605.80
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,794.19 / $2,110.81 / $2,450.80
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,100.00 / $10,120.00 / $27,159.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,120.68 / $1,582.89 / $2,130.81