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Nebraska 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
$1,653.00 / $5,463.36 / $13,841.56
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$955.84 / $955.84 / $5,018.66
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,810.78 / $8,958.04 / $17,327.75
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$919.44 / $1,567.23 / $2,089.63
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,634.43 / $4,634.43 / $4,634.43
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,535.00 / $2,328.73 / $3,139.42
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$955.84 / $1,709.26 / $8,632.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,281.51 / $2,119.42 / $2,894.61
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,231.30 / $2,400.29 / $5,870.28
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,595.76 / $2,149.62 / $3,139.42
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,178.00 / $7,441.00 / $8,816.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,281.51 / $2,170.44 / $2,760.18