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Alaska rates for HCPCS 64865

Suture of facial nerve; infratemporal, with or without grafting

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,164.33 / $9,774.00 / $14,552.94
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,002.46 / $5,227.42 / $5,227.42
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,705.15 / $3,620.08 / $4,677.32
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,012.36 / $5,227.42 / $7,318.39
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,628.15 / $3,153.78 / $6,402.50
Premera BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,441.90 / $4,789.26 / $6,396.00
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,012.36 / $5,227.42 / $7,318.39
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,630.85 / $4,789.26 / $7,170.33
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,799.24 / $4,369.01 / $6,588.54