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Illinois 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
$331.13 / $1,862.09 / $5,623.41
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$147.91 / $181.97 / $407.38
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$831.76 / $2,238.72 / $4,265.80
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$208.93 / $275.42 / $323.59
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$181.97 / $257.04 / $380.19
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$181.97 / $295.12 / $812.83
Hally Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $100.00 / $100.00
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$194.98 / $218.78 / $239.88
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.36 / $32.36 / $33.11
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$151.36 / $851.14 / $2,630.27
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$177.83 / $239.88 / $389.05