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Nebraska 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
$1,653.00 / $5,463.36 / $13,841.56
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$949.11 / $949.11 / $5,479.25
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,810.78 / $8,958.04 / $17,327.75
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$915.85 / $1,561.11 / $2,081.48
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,882.81 / $6,882.81 / $6,882.81
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,514.00 / $2,315.02 / $3,103.60
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$949.11 / $1,699.87 / $8,632.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,270.48 / $2,101.17 / $2,879.36
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,212.96 / $2,372.90 / $8,718.23
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,572.00 / $2,186.51 / $3,103.60
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,178.00 / $7,441.00 / $8,816.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,270.48 / $2,169.58 / $2,736.41