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Virginia 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
$177.83 / $2,630.27 / $8,317.64
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$151.36 / $177.83 / $371.54
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$162.18 / $218.78 / $309.03
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$181.97 / $263.03 / $933.25
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$151.36 / $218.78 / $426.58
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$141.25 / $169.82 / $208.93
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$407.38 / $407.38 / $407.38
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$165.96 / $213.80 / $323.59
Sentara
Facility/Professional
Facility
Modifier
Low / Median / High Price
$162.18 / $229.09 / $1,659.59
Sentara
Facility/Professional
Professional
Modifier
Low / Median / High Price
$162.18 / $229.09 / $1,659.59
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$229.09 / $1,202.26 / $2,454.71
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$141.25 / $218.78 / $363.08