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Texas 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
$954.99 / $3,162.28 / $7,943.28
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,000.00 / $1,202.26 / $1,862.09
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,047.13 / $1,318.26 / $1,778.28
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$79.43 / $1,023.29 / $1,047.13
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,096.48 / $1,548.82 / $2,398.83
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$22,387.21 / $28,840.32 / $28,840.32
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8,317.64 / $9,772.37 / $9,772.37
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,000.00 / $1,445.44 / $3,715.35
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,000.00 / $1,412.54 / $1,862.09
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.36 / $33.11 / $977.24
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,202.26 / $1,202.26 / $2,137.96
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,047.13 / $1,380.38 / $2,511.89
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,071.52 / $1,548.82 / $2,398.83
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,187.76 / $6,918.31 / $14,125.38
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$891.25 / $1,202.26 / $1,862.09
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,000.00 / $1,096.48 / $1,096.48