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Washington rates for HCPCS 64912

Nerve Repair W/Nerve Allograft First Strand

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,118.74 / $5,128.00 / $22,024.00
Asuris Northwest Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,191.83 / $18,877.79 / $36,111.08
Asuris Northwest Health
Facility/Professional
Facility
Modifier
AS
Low / Median / High Price
$1,475.38 / $2,454.02 / $2,454.02
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,489.65 / $6,489.65 / $10,811.68
Kaiser Permanente
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,016.22 / $1,846.15 / $16,890.70
Pacific Source
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,186.24 / $1,748.05 / $1,806.32
Premera BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,191.83 / $1,232.07 / $3,979.50
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13,467.67 / $18,867.00 / $36,111.08
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,912.00 / $3,509.00 / $17,644.00