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West 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
$162.18 / $13,182.57 / $13,182.57
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$147.91 / $173.78 / $512.86
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$181.97 / $181.97 / $223.87
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$194.98 / $194.98 / $194.98
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$34.67 / $288.40 / $288.40
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$151.36 / $245.47 / $794.33
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$457.09 / $457.09 / $457.09
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$134.90 / $186.21 / $295.12