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Idaho rates for HCPCS 64913

Nerve repair; with nerve allograft, each additional strand (List separately in addition to code for primary procedure)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,412.54 / $4,466.84 / $5,495.41
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$147.91 / $234.42 / $426.58
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$616.60 / $616.60 / $645.65
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$275.42 / $323.59 / $338.84
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$186.21 / $275.42 / $338.84
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$181.97 / $537.03 / $5,495.41
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$165.96 / $257.04 / $354.81
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.36 / $32.36 / $33.11
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$239.88 / $354.81 / $407.38
Select Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$134.90 / $134.90 / $354.81
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,819.70 / $8,317.64 / $9,332.54
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$173.78 / $229.09 / $346.74