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North Dakota rates for HCPCS 64890

Nerve Graft 1 Strand Hand/Foot <4 Cm

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,067.58 / $1,067.58 / $8,500.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$990.92 / $1,067.58 / $1,095.73
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,150.76 / $2,365.94 / $2,774.20
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,297.60 / $2,592.46 / $3,453.16
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,067.58 / $1,381.00 / $1,814.90
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,127.44 / $1,999.57 / $2,757.42
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,753.00 / $5,753.00 / $5,753.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,127.44 / $1,958.49 / $2,480.37