go back

Missouri rates for HCPCS 64912

Nerve repair; with nerve allograft, each nerve, first strand (cable)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$758.50 / $2,507.00 / $7,365.00
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,088.00 / $4,247.00 / $9,663.00
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$665.75 / $1,337.64 / $5,504.00
Medica
Facility/Professional
Facility
Modifier
AS
Low / Median / High Price
$228.14 / $2,454.02 / $2,454.02
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,858.00 / $4,000.00 / $10,781.00