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Texas 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
$803.00 / $2,768.00 / $7,542.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$897.22 / $1,055.85 / $1,684.70
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,933.45 / $8,263.51 / $16,141.40
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$963.26 / $1,174.69 / $1,672.87
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$922.57 / $6,914.36 / $6,914.36
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
$1,077.59 / $1,428.07 / $2,155.58
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,908.20 / $16,394.00 / $17,524.30
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7,544.16 / $7,734.40 / $8,972.40
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$996.49 / $1,249.07 / $1,997.03
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,284.56 / $1,541.48 / $1,911.43
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,113.73 / $1,733.00 / $3,761.33
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$998.16 / $1,276.69 / $2,101.32
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,077.59 / $1,473.08 / $2,189.21
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,093.00 / $6,000.00 / $13,134.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$824.84 / $1,137.44 / $1,796.27
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$877.07 / $998.16 / $1,381.97