go back

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
$1,023.29 / $1,023.29 / $2,630.27
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$933.25 / $1,096.48 / $3,467.37
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,309.57 / $15,135.61 / $29,512.09
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,659.59 / $2,511.89 / $3,801.89
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,630.27 / $3,715.35 / $8,912.51
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,819.70 / $3,019.95 / $4,466.84
Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,884.03 / $3,630.78 / $7,079.46
Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,949.84 / $2,511.89 / $4,073.80
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,047.13 / $1,995.26 / $9,772.37
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,023.29 / $1,949.84 / $5,754.40
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,235.94 / $6,309.57 / $11,748.98
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,023.29 / $1,862.09 / $3,715.35