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California rates for HCPCS 64865

Suture Facial Nerve Infratemporal W/Wo Graft

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,992.00 / $7,648.00 / $18,309.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$949.60 / $1,089.20 / $5,735.22
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,776.00 / $8,592.00 / $17,774.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,314.55 / $1,838.03 / $3,363.37
Blue Shield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$66.00 / $100.00 / $10,218.04
Blue Shield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$926.60 / $1,345.79 / $2,915.04
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,813.00 / $7,690.42 / $13,773.88
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,094.31 / $1,409.78 / $3,050.78
Contra Costa Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$832.46 / $1,246.69 / $1,683.03
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,008.87 / $1,400.45 / $2,540.34
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,975.34 / $22,211.50 / $26,542.00
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7,817.68 / $8,063.68 / $9,073.65
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.34 / $32.34 / $32.34
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,118.68 / $1,366.13 / $1,907.12
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,092.89 / $1,461.65 / $2,935.75
Sutter Health Plus
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,558.61 / $3,558.61 / $3,558.61
The Alliance
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,006.70 / $1,248.69 / $1,574.70
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,799.00 / $12,313.00 / $26,451.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$876.12 / $1,157.73 / $2,418.46