CPT 64874
Hospitals report these codes with terse, inconsistent chargemaster text. This plain-English title was written by an AI model from that text and has not been reviewed by a person, so it can be wrong. The prices on this page come straight from hospital filings and do not depend on it.
Original text from hospital filings
REPAIR REVISE NERVE ADD-ON
Low
$95
Average
$1.8k
Median
$954
High
$8.5k
Each payer's average rate across its hospitals, under the methodology and billing class chosen below.
59 payers; the 90th percentile is 30.0× the 10th. Each bar is a price range and its height is how many payers fall in it. Hover a bar, or a row in the ladder, for details.
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| # | ||||||||
|---|---|---|---|---|---|---|---|---|
| 1 | UnitedHealthcare case rate · outpatient · +19 other terms | 375 | $1.7k | $1.8k | $1.5k | 83% | — | $1 – $22.4k |
| 2 | Aetna case rate · outpatient · +20 other terms | 259 | $3.5k | $4.1k | $2.5k | 61% | — | $155 – $25.2k |
| 3 | Oscar case rate · outpatient · +12 other terms | 129 | $2.6k | $2.7k | $762 | 28% | — | $990 – $7.5k |
| 4 | Humana case rate · outpatient · +19 other terms | 110 | $3.1k | $4.0k | $2.2k | 56% | — | $151 – $9.3k |
| 5 | Blue Cross Blue Shield fee schedule · outpatient · +16 other terms | 107 | $1.6k | $3.7k | $5.0k | 135% | — | $0 – $39.1k |
| 6 | Molina case rate · outpatient · +12 other terms | 88 | $2.3k | $2.4k | $1.0k | 41% | — | $152 – $7.7k |
| 7 | Anthem fee schedule · outpatient · +14 other terms | 86 | $260 | $532 | $815 | 153% | — | $152 – $6.7k |
| 8 | Cigna case rate · outpatient · +17 other terms | 86 | $7.1k | $10.0k | $9.7k | 97% | — | $163 – $40.7k |
| 9 | Healthcare Highways case rate · outpatient | 42 | $5.8k | $8.0k | $5.3k | 66% | — | $2.0k – $14.6k |
| 10 | Kaiser fee schedule · outpatient · +10 other terms | 40 | $167 | $187 | $67 | 36% | — | $35 – $452 |
| 11 | MultiPlan case rate · outpatient · +14 other terms | 34 | $5.7k | $6.5k | $2.5k | 39% | — | $965 – $11.5k |
| 12 | Amerihealth Caritas case rate · outpatient · +6 other terms | 33 | $567 | $2.1k | $1.4k | 65% | — | $536 – $4.0k |
| 13 | Superior Healthplan case rate · outpatient · +1 other terms | 33 | $948 | $944 | $8 | 1% | — | $929 – $948 |
| 14 | WellCare fee schedule · both · +8 other terms | 30 | $136 | $150 | $64 | 43% | — | $0 – $290 |
| 15 | Medica case rate · outpatient · +8 other terms | 26 | $1.3k | $1.1k | $677 | 60% | — | $320 – $2.9k |
| 16 | Regence professional · fee schedule · outpatient · +3 other terms | 26 | $27 | $235 | $187 | 79% | — | $27 – $536 |
| 17 | Ambetter case rate · outpatient · +8 other terms | 22 | $2.2k | $2.3k | $507 | 22% | — | $245 – $4.0k |
| 18 | Devoted fee schedule · outpatient · +8 other terms | 22 | $167 | $165 | $2 | 1% | — | $161 – $167 |
| 19 | Aetna Better Health fee schedule · outpatient · +9 other terms | 20 | $159 | $524 | $374 | 71% | — | $154 – $919 |
| 20 | Caresource facility · case rate · outpatient · +9 other terms | 20 | $3.1k | $2.6k | $1.6k | 63% | — | $153 – $5.6k |
| 21 | Phcs fee schedule · outpatient · +10 other terms | 20 | $2.3k | $3.3k | $2.2k | 66% | — | $1.3k – $6.3k |
| 22 | Bcbs La fee schedule · outpatient · +1 other terms | 19 | $8.2k | $7.9k | $2.1k | 27% | — | $0 – $11.3k |
| 23 | Medicare fee schedule · outpatient · +6 other terms | 18 | $164 | $161 | $4 | 2% | — | $150 – $167 |
| 24 | Tricare fee schedule · outpatient · +8 other terms | 15 | $683 | $17.1k | $23.2k | 136% | — | $683 – $50k |
| 25 | Optum facility · case rate · outpatient · +6 other terms | 14 | $3.1k | $2.9k | $1.2k | 43% | — | $164 – $4.9k |
← Hospitals reporting CPT 64874 · Snapshot 20261113T090226Z-3ce6c0b8