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Nebraska 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
$1,653.00 / $5,463.36 / $13,841.56
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$974.92 / $974.92 / $5,633.03
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,810.78 / $8,958.04 / $17,327.75
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$940.74 / $1,603.53 / $2,138.04
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,873.99 / $5,873.99 / $5,873.99
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,609.00 / $2,386.16 / $3,198.96
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$974.92 / $1,754.86 / $8,632.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,306.15 / $2,160.17 / $2,961.15
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,280.10 / $2,445.81 / $8,019.53
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,659.03 / $2,235.98 / $3,198.96
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,210.00 / $7,221.00 / $8,632.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,306.15 / $2,009.46 / $2,650.48