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Indiana rates for HCPCS 64865

Suture of facial nerve; infratemporal, with or without grafting

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,020.48 / $2,622.63 / $14,063.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$946.63 / $1,020.48 / $1,343.59
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,641.00 / $8,512.00 / $16,307.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$977.21 / $1,332.90 / $1,839.40
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$977.21 / $1,270.36 / $1,465.82
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$977.21 / $1,172.65 / $1,465.82
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,248.09 / $5,248.09 / $6,221.10
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,060.11 / $1,389.48 / $2,277.31
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,472.00 / $10,113.00 / $15,750.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$910.33 / $1,224.07 / $2,079.50