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Wyoming rates for HCPCS 64890

Nerve Graft 1 Strand Hand/Foot <4 Cm

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,055.63 / $1,070.13 / $1,355.66
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,694.40 / $5,694.40 / $5,694.40
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,180.00 / $2,616.00 / $4,211.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,336.95 / $2,177.13 / $2,704.84
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,188.00 / $12,808.14 / $18,767.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,230.67 / $2,175.96 / $3,724.50