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Nebraska rates for HCPCS 64865

Suture of facial nerve; infratemporal, with or without grafting

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,011.87 / $7,943.28 / $14,454.40
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,000.00 / $1,288.25 / $5,888.44
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,760.83 / $8,912.51 / $17,378.01
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,000.00 / $1,698.24 / $2,398.83
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,168.69 / $4,168.69 / $4,168.69
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,122.02 / $2,344.23 / $3,090.30
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,000.00 / $1,778.28 / $9,549.93
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,148.15 / $2,041.74 / $8,128.31
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,089.30 / $2,511.89 / $3,388.44
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,168.69 / $4,168.69 / $4,168.69
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,344.23 / $2,511.89 / $3,388.44
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,570.88 / $6,456.54 / $8,912.51
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,148.15 / $1,949.84 / $2,884.03