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Michigan rates for HCPCS 64913

Nerve Repair W/Nerve Allograft Ea Addl Strand

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$221.50 / $2,056.00 / $4,933.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$149.76 / $221.50 / $230.01
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$159.04 / $254.47 / $254.47
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$43.26 / $241.75 / $330.81
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$156.88 / $218.55 / $353.73
Health Alliance Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$164.13 / $2,056.00 / $4,933.00
Health Alliance Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$164.13 / $169.28 / $257.33
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$162.87 / $208.32 / $303.36
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$464.00 / $1,428.00 / $2,029.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$189.85 / $213.04 / $285.06