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New Mexico rates for HCPCS 64890

Nerve Graft 1 Strand Hand/Foot <4 Cm

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,000.00 / $5,000.27 / $7,838.38
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$949.24 / $1,095.73 / $1,784.17
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,643.76 / $13,052.46 / $20,254.30
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,006.16 / $1,310.01 / $1,990.30
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,065.34 / $1,591.00 / $2,077.21
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.34 / $32.34 / $1,690.82
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$980.00 / $1,318.91 / $1,651.29
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,095.11 / $1,651.29 / $2,655.17
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,315.00 / $11,259.00 / $12,808.14
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,195.08 / $1,575.74 / $2,522.69