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Maryland rates for HCPCS 64890

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

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$933.25 / $1,148.15 / $5,128.61
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,047.13 / $1,174.90 / $1,479.11
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$446.68 / $446.68 / $457.09
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$977.24 / $1,348.96 / $2,344.23
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,023.29 / $1,148.15 / $1,905.46
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$776.25 / $1,023.29 / $2,884.03
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$851.14 / $1,230.27 / $2,187.76
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,023.29 / $1,230.27 / $1,584.89