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Virginia rates for HCPCS 64886

Nerve Graft Head/Neck >4 Cm

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,458.71 / $3,633.00 / $8,294.00
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,153.00 / $7,363.00 / $9,410.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$572.00 / $572.00 / $1,459.14
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,222.24 / $1,564.47 / $1,820.95
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,314.18 / $1,710.81 / $2,479.81
Sentara
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,283.68 / $1,739.43 / $5,443.99
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,423.00 / $11,475.00 / $21,639.00