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Massachusetts 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
$1,421.00 / $2,663.12 / $4,767.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$938.56 / $1,084.41 / $1,742.25
AllWays Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,722.30 / $4,916.00 / $15,169.65
AllWays Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,006.54 / $1,785.67 / $7,544.16
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,228.48 / $2,014.58 / $2,729.07
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,138.25 / $1,719.57 / $2,881.98
Fallon Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,040.90 / $1,811.48 / $6,679.00
Fallon Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,194.43 / $1,446.85 / $1,971.20
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,301.30 / $2,579.69 / $4,111.89
Health New England
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,941.55 / $2,941.55 / $2,941.55
Health New England
Facility/Professional
Professional
Modifier
Low / Median / High Price
$700.00 / $700.00 / $700.00
Mass General Brigham
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,324.00 / $5,097.00 / $16,394.00
Mass General Brigham
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,105.96 / $1,921.14 / $7,544.16
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,324.00 / $5,097.00 / $10,764.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,098.57 / $1,630.61 / $3,241.02