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Idaho rates for HCPCS 64892

Nerve Graft 1 Strand Arm/Leg <4 Cm

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,628.00 / $4,500.00 / $7,205.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,040.36 / $1,492.67 / $2,523.44
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,508.54 / $5,508.54 / $5,524.03
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,157.20 / $1,542.93 / $1,832.23
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,002.57 / $1,755.18 / $2,901.97
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,698.82 / $1,853.26 / $2,436.50
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.34 / $1,449.93 / $1,824.11
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,634.13 / $15,806.20 / $20,605.80
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,790.79 / $2,106.81 / $2,436.50
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,100.00 / $10,120.00 / $27,159.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,153.80 / $1,609.61 / $2,125.90