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Indiana 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
$1,207.98 / $2,318.00 / $7,212.00
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,310.00 / $6,340.00 / $15,727.00
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,163.80 / $1,512.94 / $1,745.70
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,248.09 / $5,248.09 / $6,221.10
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,472.00 / $10,113.00 / $15,750.00