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Pennsylvania 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
$1,056.00 / $2,747.00 / $8,017.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$907.18 / $1,069.07 / $1,935.01
Capital Blue Cross
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,431.95 / $7,827.00 / $19,139.18
Capital Blue Cross
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,049.17 / $1,088.76 / $1,945.16
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,191.76 / $1,191.76 / $1,191.76
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$979.01 / $1,295.83 / $2,110.98
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,234.67 / $1,673.96 / $2,132.62
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$15,373.76 / $15,373.76 / $27,600.80
Highmark BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,177.34 / $1,286.53 / $1,286.53
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,013.00 / $3,077.00 / $8,017.00
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$907.18 / $1,165.10 / $3,175.13
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,145.80 / $1,145.80 / $2,151.69
Priority Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,191.76 / $1,191.76 / $1,191.76
Priority Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$984.25 / $1,327.40 / $2,122.06
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$982.30 / $1,029.41 / $1,029.41
UPMC Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$982.30 / $1,029.41 / $1,087.53
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,332.00 / $3,879.00 / $7,508.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$988.71 / $1,318.67 / $1,910.57