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Michigan rates for HCPCS 64865

Suture of facial nerve; infratemporal, with or without grafting

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,380.38 / $4,897.79 / $6,918.31
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$933.25 / $1,122.02 / $1,949.84
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,000.00 / $2,454.71 / $2,454.71
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,047.13 / $2,454.71 / $2,454.71
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$812.83 / $1,288.25 / $2,511.89
Health Alliance Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,380.38 / $3,388.44 / $6,918.31
Health Alliance Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$977.24 / $1,258.93 / $1,778.28
Priority Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$794.33 / $1,174.90 / $1,905.46
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,073.80 / $6,309.57 / $10,715.19
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,023.29 / $1,318.26 / $1,778.28