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Pennsylvania rates for HCPCS 64892

Nerve Graft 1 Strand Arm/Leg <4 Cm

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,058.00 / $2,675.00 / $8,017.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$903.44 / $1,065.53 / $1,640.03
Capital Blue Cross
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,431.95 / $7,827.00 / $19,139.18
Capital Blue Cross
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,050.86 / $1,090.53 / $1,936.47
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,189.38 / $1,189.38 / $1,189.38
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$976.08 / $1,304.55 / $2,104.98
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,237.56 / $1,679.46 / $2,137.60
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,013.00 / $2,679.00 / $8,017.00
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$934.00 / $1,177.33 / $2,843.00
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,134.59 / $1,134.59 / $2,214.40
Priority Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,189.38 / $1,189.38 / $1,189.38
Priority Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$987.71 / $1,338.37 / $2,115.03
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,026.23 / $1,026.23 / $1,069.67
UPMC Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$991.81 / $1,034.25 / $1,084.41
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,332.00 / $3,879.00 / $7,508.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,056.36 / $1,310.38 / $1,980.95