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New York 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
$1,360.33 / $3,951.00 / $10,170.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$990.92 / $1,228.34 / $2,933.37
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,046.00 / $7,264.00 / $12,538.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$800.38 / $1,046.25 / $2,557.65
CDPHP
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,523.28 / $1,716.00 / $6,213.00
CDPHP
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,523.28 / $1,523.28 / $1,523.28
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,222.09 / $1,222.09 / $1,222.09
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,014.74 / $1,711.73 / $4,567.41
Emblem Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$332.00 / $1,310.00 / $2,868.46
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,173.41 / $1,664.69 / $2,460.50
Excellus BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,007.65 / $1,007.65 / $1,007.65
Excellus BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$874.67 / $1,249.23 / $2,269.03
MVP Health Care
Facility/Professional
Facility
Modifier
Low / Median / High Price
$555.00 / $597.00 / $36,596.00
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,094.52 / $1,691.76 / $4,399.43
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,705.00 / $5,547.00 / $14,457.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$962.13 / $1,469.99 / $3,875.42
Univera
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,249.23 / $1,249.23 / $4,821.34
Univera
Facility/Professional
Professional
Modifier
Low / Median / High Price
$908.79 / $1,381.69 / $2,718.98