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Maryland 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
$9,670.45 / $9,670.45 / $9,670.45
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$445.00 / $453.73 / $3,697.13
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,330.69 / $1,722.92 / $2,241.17
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$847.00 / $847.00 / $1,560.00