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Indiana rates for HCPCS 64905

Nerve pedicle transfer; first stage

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$931.91 / $2,318.00 / $7,212.00
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,310.00 / $6,340.00 / $15,727.00
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$893.42 / $1,161.45 / $1,340.13
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,140.62 / $4,140.62 / $4,908.29
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,370.00 / $10,069.00 / $15,750.00