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Wisconsin rates for HCPCS 64885

Nerve graft (includes obtaining graft), head or neck; up to 4 cm in length

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,000.00 / $2,187.76 / $14,454.40
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,606.93 / $10,964.78 / $17,378.01
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,754.23 / $3,235.94 / $5,370.32
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,047.13 / $1,778.28 / $10,000.00
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,047.13 / $2,187.76 / $15,135.61
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,479.11 / $2,238.72 / $3,388.44
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,309.57 / $11,748.98 / $17,782.79
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,585.78 / $12,302.69 / $16,595.87