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Michigan rates for HCPCS 64865

Suture Facial Nerve Infratemporal W/Wo Graft

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,387.25 / $4,933.00 / $4,933.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$931.88 / $1,381.81 / $1,440.61
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,414.54 / $5,181.37 / $7,019.93
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$275.13 / $1,618.44 / $2,700.29
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$800.24 / $1,308.75 / $2,516.86
Health Alliance Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,149.57 / $1,387.25 / $6,906.00
Health Alliance Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,064.82 / $1,212.69 / $1,782.71
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$131.01 / $886.93 / $1,336.13
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,500.00 / $8,702.00 / $10,652.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,120.50 / $1,327.98 / $1,827.39