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Minnesota 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
$1,017.27 / $1,017.27 / $2,525.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$956.80 / $1,084.41 / $1,637.61
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,879.53 / $12,222.68 / $23,673.40
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,824.34 / $2,944.68 / $3,715.21
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,505.29 / $3,554.64 / $8,551.16
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,869.92 / $2,978.74 / $4,423.89
Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,277.53 / $3,249.79 / $6,733.20
Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,692.97 / $2,672.52 / $4,056.97
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,017.27 / $1,761.46 / $4,273.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,133.11 / $2,060.21 / $4,240.47
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,940.00 / $7,872.00 / $11,531.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,131.53 / $1,980.75 / $4,171.01