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Massachusetts rates for HCPCS 64891

Nerve Graft 1 Strand Hand/Foot >4 Cm

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,421.00 / $2,663.12 / $3,693.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,023.14 / $1,210.50 / $1,903.07
AllWays Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,874.60 / $4,916.00 / $15,169.65
AllWays Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,076.49 / $1,884.93 / $8,245.60
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,212.51 / $1,867.56 / $3,136.81
Fallon Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,138.26 / $1,836.86 / $6,679.00
Fallon Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,306.15 / $1,582.18 / $2,155.23
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,424.18 / $2,823.29 / $4,481.96
Mass General Brigham
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,324.00 / $5,097.00 / $16,394.00
Mass General Brigham
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,176.33 / $2,058.60 / $8,245.60
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,324.00 / $5,097.00 / $10,764.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,112.20 / $1,778.01 / $3,316.52