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Louisiana rates for HCPCS 64890

Nerve Graft 1 Strand Hand/Foot <4 Cm

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$580.00 / $1,588.92 / $3,685.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$968.90 / $1,588.92 / $1,757.58
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,009.01 / $8,487.19 / $12,665.76
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,179.46 / $1,445.11 / $1,862.71
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$40.00 / $40.00 / $956.22
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$725.00 / $725.00 / $725.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,041.18 / $1,441.42 / $1,898.55
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,172.00 / $5,493.00 / $15,885.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$930.33 / $1,278.20 / $2,274.32