go back

Idaho rates for HCPCS 64865

Suture of facial nerve; infratemporal, with or without grafting

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,422.00 / $4,500.00 / $8,622.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,071.49 / $1,611.90 / $2,658.64
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,701.14 / $4,701.14 / $4,714.35
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,255.82 / $1,659.04 / $1,923.91
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,031.76 / $1,952.22 / $3,057.44
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,734.58 / $1,892.27 / $2,563.69
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.34 / $1,695.80 / $1,889.61
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,634.13 / $15,806.20 / $20,605.80
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,846.30 / $2,172.12 / $2,563.71
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,100.00 / $10,120.00 / $27,159.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,189.01 / $1,658.37 / $2,291.23