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Pennsylvania 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
$1,041.50 / $2,747.00 / $8,017.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$879.58 / $1,004.55 / $1,631.42
Capital Blue Cross
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,431.95 / $7,827.00 / $19,139.18
Capital Blue Cross
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,022.06 / $1,302.36 / $1,884.90
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,155.38 / $1,155.38 / $1,155.38
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$858.76 / $1,267.04 / $2,067.33
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,229.59 / $1,638.69 / $2,088.27
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,013.00 / $3,077.00 / $8,017.00
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$879.58 / $1,086.86 / $2,562.09
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$910.90 / $910.90 / $2,239.60
Priority Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,155.38 / $1,155.38 / $1,155.38
Priority Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$916.03 / $1,283.25 / $2,067.33
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$757.60 / $998.57 / $998.57
UPMC Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$757.60 / $998.57 / $1,058.96
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,332.00 / $3,879.00 / $7,000.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$927.15 / $1,334.39 / $2,070.37