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Missouri rates for HCPCS 64865

Suture of facial nerve; infratemporal, with or without grafting

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,547.00 / $4,931.00 / $12,154.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$909.00 / $1,087.13 / $1,785.73
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,088.00 / $4,247.00 / $9,663.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,055.94 / $1,352.00 / $2,019.03
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,070.31 / $1,478.99 / $2,355.89
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$985.01 / $1,630.70 / $19,103.99
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,129.24 / $1,765.07 / $8,063.68
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,858.00 / $4,000.00 / $10,781.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,051.26 / $1,592.51 / $2,426.52