go back

Missouri 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
$1,098.00 / $3,214.00 / $7,365.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$878.89 / $1,051.55 / $1,709.26
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,321.38 / $1,321.38 / $1,321.38
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,088.00 / $4,247.00 / $9,663.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,012.00 / $1,234.89 / $1,859.39
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,019.24 / $1,394.01 / $2,275.96
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$956.04 / $1,577.33 / $16,394.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,098.57 / $1,647.86 / $7,734.40
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,156.00 / $4,000.00 / $10,781.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$988.71 / $1,478.88 / $2,379.04