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New York 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
$214.73 / $3,060.00 / $7,735.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$170.71 / $198.75 / $420.56
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,393.00 / $4,120.00 / $8,836.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$129.57 / $165.63 / $417.45
CDPHP
Facility/Professional
Facility
Modifier
Low / Median / High Price
$249.78 / $249.78 / $4,050.00
CDPHP
Facility/Professional
Professional
Modifier
Low / Median / High Price
$249.78 / $249.78 / $249.78
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$194.87 / $194.87 / $14,648.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$155.15 / $298.62 / $827.35
Emblem Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$135.84 / $221.33 / $444.24
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$197.76 / $240.88 / $343.06
Excellus BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$123.21 / $216.77 / $341.96
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.56 / $3.56 / $3.56
MVP Health Care
Facility/Professional
Facility
Modifier
Low / Median / High Price
$194.87 / $555.00 / $74,999.25
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$138.32 / $262.85 / $809.35
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,079.00 / $2,826.00 / $5,412.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$170.49 / $252.65 / $520.20
Univera
Facility/Professional
Facility
Modifier
Low / Median / High Price
$197.89 / $197.89 / $311.27
Univera
Facility/Professional
Professional
Modifier
Low / Median / High Price
$137.77 / $217.76 / $359.43