go back

Vermont rates for HCPCS 64890

Nerve graft (includes obtaining graft), single strand, hand or foot; up to 4 cm length

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$977.24 / $1,230.27 / $3,630.78
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$851.14 / $1,445.44 / $2,398.83
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,122.02 / $1,548.82 / $1,737.80
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,258.93 / $1,513.56 / $4,365.16