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Nebraska rates for HCPCS 64865

Suture Facial Nerve Infratemporal W/Wo Graft

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,241.22 / $10,431.19 / $20,928.72
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,005.45 / $1,005.45 / $5,735.22
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,810.78 / $8,958.04 / $17,327.75
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$964.13 / $1,643.41 / $2,191.21
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,873.99 / $5,873.99 / $5,873.99
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,764.00 / $2,433.13 / $3,289.13
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,005.45 / $1,785.73 / $8,632.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,337.90 / $2,212.67 / $3,042.33
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,315.25 / $2,639.13 / $7,398.85
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,704.56 / $2,309.86 / $3,289.13
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,178.00 / $7,441.00 / $8,816.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,337.90 / $2,334.91 / $2,881.62