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Louisiana 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
$501.19 / $1,288.25 / $3,890.45
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$151.36 / $181.97 / $288.40
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.02 / $363.08 / $933.25
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$186.21 / $229.09 / $288.40
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$123.03 / $123.03 / $123.03
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$151.36 / $223.87 / $302.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$208.93 / $512.86 / $1,258.93
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$158.49 / $208.93 / $380.19