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Texas 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
$762.34 / $2,500.00 / $7,542.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,627.59 / $8,375.94 / $16,251.58
Baylor Scott & White
Facility/Professional
Facility
Modifier
Low / Median / High Price
$187.00 / $2,767.50 / $7,472.25
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$307.32 / $307.32 / $797.64
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,552.14 / $6,552.14 / $6,552.14
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$55.00 / $55.00 / $25,890.15
Lucent Health
Facility/Professional
Facility
Modifier
AS
Low / Median / High Price
$203.06 / $2,454.02 / $2,454.02
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$775.75 / $962.61 / $1,779.67
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$777.59 / $963.53 / $2,163.83
Providence
Facility/Professional
Facility
Modifier
AS
Low / Median / High Price
$287.33 / $287.33 / $287.33
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,093.00 / $6,000.00 / $13,134.00