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New York rates for HCPCS 64905

Nerve pedicle transfer; first stage

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,242.00 / $3,996.00 / $10,170.00
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,046.00 / $7,264.00 / $12,538.00
CDPHP
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,433.15 / $1,716.00 / $6,213.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,133.30 / $1,133.30 / $1,133.30
Cigna
Facility/Professional
Facility
Modifier
AS
Low / Median / High Price
$112.26 / $112.26 / $112.26
Emblem Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$332.00 / $1,063.79 / $2,637.50
Excellus BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$928.01 / $928.01 / $928.01
MVP Health Care
Facility/Professional
Facility
Modifier
Low / Median / High Price
$555.00 / $597.00 / $36,596.00
MVP Health Care
Facility/Professional
Facility
Modifier
AS
Low / Median / High Price
$112.26 / $112.26 / $112.26
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,705.00 / $5,547.00 / $14,457.00
Univera
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,159.90 / $1,159.90 / $4,316.10