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Louisiana rates for HCPCS 64892

Nerve graft (includes obtaining graft), single strand, arm or leg; up to 4 cm length

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$580.00 / $1,543.86 / $3,685.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$938.57 / $1,543.86 / $1,707.65
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,009.01 / $8,487.19 / $12,665.76
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,147.85 / $1,406.51 / $1,806.97
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$40.00 / $40.00 / $931.99
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$725.00 / $725.00 / $725.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,013.44 / $1,400.91 / $1,829.26
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,141.00 / $4,717.00 / $11,696.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$891.00 / $1,257.89 / $2,209.71