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Indiana 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
$975.99 / $2,318.00 / $7,212.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$910.51 / $975.99 / $1,709.26
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
$896.48 / $1,211.40 / $1,671.73
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$943.02 / $1,225.93 / $1,414.53
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$943.02 / $1,113.03 / $1,414.53
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
$970.80 / $1,291.08 / $2,141.84
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
$860.56 / $1,151.71 / $2,024.14