go back

Massachusetts rates for HCPCS 64865

Suture Facial Nerve Infratemporal W/Wo Graft

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,924.00 / $2,747.00 / $5,039.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$981.66 / $1,182.16 / $1,838.02
AllWays Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,787.90 / $5,097.00 / $15,169.65
AllWays Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,106.81 / $1,960.22 / $7,817.68
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,164.22 / $1,866.46 / $2,983.96
Fallon Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,072.69 / $1,909.00 / $6,679.00
Fallon Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,230.91 / $1,491.04 / $2,032.89
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,331.20 / $2,638.97 / $4,232.68
Mass General Brigham
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,324.00 / $5,975.34 / $26,542.00
Mass General Brigham
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,192.19 / $2,034.13 / $7,817.68
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,324.00 / $5,097.00 / $10,764.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,112.03 / $1,699.80 / $3,158.61