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Michigan rates for HCPCS 64890

Nerve Graft 1 Strand Hand/Foot <4 Cm

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,382.52 / $2,877.00 / $4,933.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$929.05 / $1,278.25 / $1,435.70
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,401.06 / $6,339.26 / $8,588.69
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$276.91 / $1,058.78 / $1,840.65
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$788.23 / $1,283.80 / $2,447.51
Health Alliance Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,160.59 / $2,877.00 / $4,933.00
Health Alliance Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,076.83 / $1,230.67 / $1,729.72
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$102.86 / $809.46 / $1,274.56
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,500.00 / $7,800.00 / $10,652.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,127.32 / $1,326.26 / $1,801.22