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Oklahoma 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
$1,000.00 / $3,683.00 / $8,400.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$958.52 / $958.53 / $968.84
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8,666.79 / $13,768.47 / $21,754.02
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,037.75 / $1,395.33 / $1,667.22
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,313.01 / $6,313.01 / $6,313.01
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,135.29 / $1,421.40 / $1,823.09
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$968.84 / $1,556.85 / $8,753.15
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$958.32 / $1,239.63 / $7,918.64
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,862.00 / $6,627.00 / $10,811.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$901.95 / $1,161.26 / $1,574.90