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Missouri 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
$1,108.90 / $3,214.00 / $8,000.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$900.01 / $1,080.81 / $4,631.00
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,088.00 / $4,247.00 / $9,663.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,050.83 / $1,291.82 / $2,018.98
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,070.05 / $1,436.97 / $2,330.29
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$995.25 / $1,615.37 / $16,394.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,127.44 / $1,742.78 / $7,918.64
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,858.00 / $3,864.00 / $6,980.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,014.70 / $1,551.31 / $2,335.05