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New York 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
$1,595.52 / $3,917.00 / $10,170.00
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,046.00 / $7,264.00 / $12,538.00
CDPHP
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,716.00 / $1,802.02 / $6,213.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,459.14 / $1,459.14 / $1,459.14
Emblem Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$332.00 / $2,199.31 / $4,563.20
Excellus BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,201.81 / $1,201.81 / $1,201.81
MVP Health Care
Facility/Professional
Facility
Modifier
Low / Median / High Price
$555.00 / $597.00 / $36,596.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,264.00 / $5,963.00 / $15,611.00
Univera
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,495.07 / $1,495.07 / $6,445.13