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Michigan rates for HCPCS 64891

Nerve Graft 1 Strand Hand/Foot >4 Cm

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,469.94 / $2,877.00 / $4,933.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$987.58 / $1,440.18 / $1,526.48
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,519.35 / $6,478.09 / $8,776.78
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$317.89 / $1,190.40 / $1,956.57
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$838.06 / $1,363.67 / $2,601.42
Health Alliance Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,164.09 / $2,877.00 / $4,933.00
Health Alliance Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,145.03 / $1,303.79 / $1,839.51
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$131.13 / $955.45 / $1,452.20
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,500.00 / $8,702.00 / $10,652.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,106.58 / $1,330.28 / $1,902.93