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Alaska rates for HCPCS 64891

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,949.84 / $9,549.93 / $16,595.87
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,071.52 / $1,380.38 / $3,388.44
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,818.38 / $3,801.89 / $4,897.79
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,000.00 / $1,548.82 / $7,585.78
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,630.27 / $3,388.44 / $6,025.60
Premera BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,630.78 / $4,677.35 / $6,606.93
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,047.13 / $1,513.56 / $6,025.60
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$60.26 / $1,584.89 / $3,801.89
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,258.93 / $3,019.95 / $7,585.78