go back

Texas rates for HCPCS 64886

Nerve Graft Head/Neck >4 Cm

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$803.00 / $2,759.00 / $7,542.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,990.00 / $8,373.70 / $16,416.84
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$80.00 / $1,095.99 / $1,117.51
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,459.14 / $1,459.14 / $1,459.14
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,134.54 / $16,394.00 / $22,211.50
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,221.09 / $1,645.42 / $2,638.88
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,237.59 / $1,645.42 / $2,703.66
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,093.00 / $6,000.00 / $13,134.00