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Alaska rates for HCPCS 64890

Nerve graft (includes obtaining graft), single strand, hand or foot; up to 4 cm length

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,105.25 / $8,303.41 / $13,413.92
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$993.12 / $5,129.82 / $5,129.82
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,661.93 / $3,578.14 / $4,602.16
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,018.95 / $5,129.82 / $7,181.75
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,645.13 / $3,174.15 / $6,443.87
Premera BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,436.40 / $4,743.68 / $6,300.00
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,018.95 / $5,129.82 / $7,181.75
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,608.25 / $4,743.68 / $7,140.63
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12,808.14 / $12,808.14 / $12,808.14
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,862.52 / $4,318.41 / $7,156.30