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Washington 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
$316.23 / $4,466.84 / $18,620.87
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$141.25 / $181.97 / $426.58
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$275.42 / $275.42 / $275.42
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$199.53 / $338.84 / $512.86
Kaiser Permanente
Facility/Professional
Facility
Modifier
Low / Median / High Price
$190.55 / $338.84 / $426.58
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$194.98 / $346.74 / $426.58
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.36 / $32.36 / $33.11
Pacific Source
Facility/Professional
Facility
Modifier
Low / Median / High Price
$281.84 / $331.13 / $346.74
Premera BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$234.42 / $234.42 / $234.42
Premera BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$234.42 / $389.05 / $501.19
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$239.88 / $338.84 / $436.52
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$190.55 / $660.69 / $6,165.95
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$154.88 / $275.42 / $489.78
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$144.54 / $194.98 / $275.42