go back

Massachusetts 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
$1,513.56 / $2,884.03 / $5,128.61
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$977.24 / $1,230.27 / $3,235.94
AllWays Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,949.84 / $7,079.46 / $28,840.32
AllWays Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$954.99 / $1,621.81 / $7,762.47
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,047.13 / $1,659.59 / $2,818.38
Fallon Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$501.19 / $1,905.46 / $7,079.46
Fallon Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,096.48 / $1,380.38 / $1,905.46
Harvard Pilgrim
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,511.89 / $6,165.95 / $13,182.57
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,023.29 / $1,905.46 / $3,090.30
Mass General Brigham
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,398.83 / $7,079.46 / $28,840.32
Mass General Brigham
Facility/Professional
Professional
Modifier
Low / Median / High Price
$954.99 / $1,659.59 / $7,762.47
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,511.89 / $6,309.57 / $15,848.93
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,047.13 / $1,659.59 / $3,090.30