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Idaho 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
$1,628.00 / $4,500.00 / $7,205.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,070.13 / $1,538.53 / $2,594.25
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,701.14 / $4,701.14 / $4,714.35
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,189.75 / $1,609.00 / $1,883.77
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,030.41 / $1,871.37 / $2,983.39
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,745.78 / $1,904.49 / $2,502.94
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.34 / $1,489.83 / $1,874.30
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,634.13 / $15,806.20 / $20,605.80
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,839.51 / $2,164.13 / $2,502.94
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,100.00 / $10,120.00 / $27,159.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,187.11 / $1,624.48 / $2,186.81