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Indiana 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
$1,202.26 / $4,897.79 / $7,244.36
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,000.00 / $1,174.90 / $2,137.96
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,202.26 / $1,202.26 / $1,202.26
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,818.38 / $18,197.01 / $26,302.68
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$954.99 / $1,318.26 / $2,041.74
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,023.29 / $1,148.15 / $1,288.25
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,165.95 / $6,165.95 / $6,165.95
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,047.13 / $1,380.38 / $2,238.72
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,466.84 / $9,549.93 / $16,218.10
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$933.25 / $1,202.26 / $2,089.30