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Maryland rates for HCPCS 64891

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

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$977.24 / $1,174.90 / $3,019.95
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,071.52 / $1,174.90 / $1,513.56
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$446.68 / $457.09 / $3,715.35
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,000.00 / $1,412.54 / $2,454.71
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,096.48 / $1,202.26 / $2,041.74
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$776.25 / $1,096.48 / $2,884.03
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$891.25 / $1,288.25 / $2,290.87
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,000.00 / $1,288.25 / $1,659.59