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Michigan rates for HCPCS 64872

Suture of nerve; requiring secondary or delayed suture (List separately in addition to code for primary neurorrhaphy)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,884.03 / $2,884.03 / $4,897.79
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$100.00 / $117.49 / $213.80
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$173.78 / $173.78 / $346.74
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$46.77 / $181.97 / $346.74
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$89.13 / $141.25 / $316.23
Health Alliance Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$147.91 / $2,884.03 / $4,897.79
Health Alliance Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$102.33 / $131.83 / $186.21
Priority Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$83.18 / $141.25 / $208.93
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$467.74 / $1,258.93 / $2,041.74
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$109.65 / $144.54 / $181.97