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Texas 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
$828.00 / $2,747.00 / $7,542.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$891.77 / $1,051.19 / $1,699.87
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,937.00 / $8,318.61 / $16,692.30
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$967.11 / $1,224.11 / $1,668.09
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$80.00 / $931.99 / $953.88
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
$1,076.21 / $1,439.15 / $2,143.59
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,895.45 / $16,394.00 / $26,026.20
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7,550.08 / $7,708.72 / $8,998.50
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$996.93 / $1,280.39 / $1,990.12
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,286.99 / $1,544.39 / $1,915.04
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,112.83 / $1,221.59 / $1,805.76
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$999.83 / $1,281.21 / $2,100.41
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,080.30 / $1,469.73 / $2,199.13
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,093.00 / $6,000.00 / $13,134.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$822.23 / $1,109.96 / $1,769.51
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$878.72 / $999.83 / $1,384.26