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Pennsylvania 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
$901.58 / $3,454.40 / $14,004.44
Capital Blue Cross
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8,850.00 / $16,455.00 / $36,032.05
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,258.37 / $21,280.27 / $64,273.90
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$934.00 / $3,678.00 / $12,843.24
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$862.31 / $872.18 / $872.18
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,332.00 / $3,914.00 / $7,000.00