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Pennsylvania 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
$660.69 / $2,691.53 / $8,317.64
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$144.54 / $173.78 / $512.86
Capital Blue Cross
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,011.87 / $8,511.38 / $77,624.71
Capital Blue Cross
Facility/Professional
Professional
Modifier
Low / Median / High Price
$169.82 / $245.47 / $295.12
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$165.96 / $223.87 / $346.74
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$177.83 / $229.09 / $251.19
Geisinger
Facility/Professional
Professional
Modifier
Low / Median / High Price
$158.49 / $204.17 / $295.12
Highmark BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$190.55 / $190.55 / $190.55
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$616.60 / $2,344.23 / $7,762.47
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$151.36 / $218.78 / $707.95
Oscar Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$346.74 / $346.74 / $346.74
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$218.78 / $275.42 / $436.52
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$53.70 / $169.82 / $380.19
UPMC Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$53.70 / $104.71 / $380.19
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$144.54 / $676.08 / $4,265.80
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$162.18 / $213.80 / $346.74