go back

Washington rates for HCPCS 64913

Nerve Repair W/Nerve Allograft Ea Addl Strand

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$313.89 / $4,414.79 / $18,711.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$144.69 / $219.83 / $422.38
Asuris Northwest Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$55.00 / $233.75 / $773.56
Asuris Northwest Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$240.84 / $406.96 / $1,479.60
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$200.78 / $353.22 / $513.22
Kaiser Permanente
Facility/Professional
Facility
Modifier
Low / Median / High Price
$191.40 / $326.97 / $410.41
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$205.43 / $326.97 / $425.93
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$49.94 / $318.27 / $522.77
Pacific Source
Facility/Professional
Facility
Modifier
Low / Median / High Price
$224.33 / $328.21 / $347.73
Premera BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$233.75 / $233.75 / $233.98
Premera BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$240.84 / $390.34 / $479.90
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$238.39 / $336.59 / $453.38
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$190.00 / $666.00 / $6,216.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$221.88 / $355.62 / $510.83