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Indiana rates for HCPCS 64911

Nerve repair; with autogenous vein graft (includes harvest of vein graft), each nerve

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$946.92 / $2,318.00 / $7,212.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$867.81 / $946.92 / $1,251.90
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,852.40 / $10,338.00 / $26,304.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$795.78 / $994.73 / $1,372.72
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$939.63 / $1,197.57 / $1,381.82
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$921.21 / $1,057.08 / $1,381.82
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$857.78 / $1,196.77 / $2,010.69
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,472.00 / $10,113.00 / $15,750.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$829.02 / $1,105.45 / $1,957.22