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Pennsylvania rates for HCPCS 64865

Suture of facial nerve; infratemporal, with or without grafting

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,101.00 / $3,830.00 / $8,240.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$937.78 / $1,078.34 / $1,670.39
Capital Blue Cross
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,431.95 / $7,827.00 / $19,139.18
Capital Blue Cross
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,073.09 / $1,113.59 / $1,113.59
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,224.10 / $1,224.10 / $1,224.10
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,012.36 / $1,366.69 / $2,185.42
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,258.02 / $1,684.89 / $2,172.94
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,101.00 / $4,597.00 / $8,404.00
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$951.89 / $1,246.84 / $5,735.22
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,209.20 / $1,209.20 / $2,318.10
Priority Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,224.10 / $1,224.10 / $1,224.10
Priority Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,022.53 / $1,392.36 / $2,191.08
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,064.51 / $1,064.51 / $1,205.26
UPMC Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,035.05 / $1,066.58 / $1,205.26
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,332.00 / $3,879.00 / $7,508.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,037.10 / $1,377.88 / $2,058.94