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Idaho rates for HCPCS 64886

Nerve graft (includes obtaining graft), head or neck; more than 4 cm length

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,628.00 / $4,500.00 / $7,205.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,701.14 / $4,701.14 / $4,714.35
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,226.92 / $2,320.04 / $3,600.24
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,634.13 / $15,806.20 / $20,605.80
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,100.00 / $10,120.00 / $27,159.00