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Tennessee rates for HCPCS 64890

Nerve Graft 1 Strand Hand/Foot <4 Cm

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$996.47 / $2,351.67 / $7,602.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$934.59 / $1,136.82 / $1,658.75
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,056.00 / $5,467.00 / $9,283.00
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,041.02 / $1,411.67 / $2,164.06
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$30.00 / $30.00 / $30.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,088.19 / $1,443.58 / $2,266.34
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,025.00 / $16,394.00 / $22,211.50
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7,757.68 / $7,918.64 / $9,248.25
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,604.00 / $5,898.00 / $11,506.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$960.88 / $1,213.01 / $2,207.17