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Indiana rates for HCPCS 64890

Nerve Graft 1 Strand Hand/Foot <4 Cm

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$996.88 / $2,318.00 / $7,212.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$934.59 / $996.88 / $1,246.09
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,310.00 / $6,340.00 / $15,727.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$922.51 / $1,324.90 / $1,828.36
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$969.71 / $1,260.61 / $1,454.57
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$969.71 / $1,163.65 / $1,454.57
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,248.09 / $5,248.09 / $6,221.10
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,003.00 / $1,357.59 / $2,230.34
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,370.00 / $10,069.00 / $15,750.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$888.72 / $1,183.81 / $2,066.50