go back

Ohio 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
$1,311.33 / $3,602.00 / $11,581.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$903.44 / $1,027.47 / $2,015.70
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,003.00 / $4,142.00 / $19,117.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$836.10 / $1,142.14 / $1,812.69
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$931.17 / $1,015.82 / $1,479.17
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,031.09 / $1,095.49 / $1,394.26
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$21,571.00 / $21,571.00 / $21,571.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$995.90 / $1,405.39 / $1,956.20
Medical Mutual of Ohio
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,189.38 / $1,189.38 / $1,189.38
Medical Mutual of Ohio
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,045.69 / $1,444.05 / $1,954.51
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$104.14 / $803.32 / $1,301.12
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,206.00 / $6,231.00 / $10,075.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$844.84 / $1,323.09 / $1,952.10