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Michigan rates for HCPCS 64905

Nerve Pedicle Transfer First Stage

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,286.67 / $2,877.00 / $29,599.99
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,414.54 / $5,181.37 / $7,019.93
Health Alliance Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,079.79 / $3,390.20 / $29,599.99
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,500.00 / $7,800.00 / $10,652.00