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Wyoming 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
$1,047.13 / $1,148.15 / $2,041.74
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,754.40 / $5,754.40 / $5,754.40
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,290.87 / $3,715.35 / $4,466.84
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,412.54 / $2,137.96 / $2,884.03
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,128.61 / $5,495.41 / $18,197.01
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,202.26 / $2,041.74 / $4,365.16