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Ohio rates for HCPCS 64905

Nerve pedicle transfer; first stage

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,000.00 / $3,396.63 / $10,268.00
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,003.00 / $4,142.00 / $19,117.00
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$881.42 / $961.55 / $1,400.14
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$21,571.00 / $21,571.00 / $21,571.00
Medical Mutual of Ohio
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,133.30 / $1,133.30 / $1,858.17
Medical Mutual of Ohio
Facility/Professional
Facility
Modifier
AS
Low / Median / High Price
$112.26 / $112.26 / $112.26
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,793.00 / $6,578.00 / $11,097.00