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Indiana rates for HCPCS 64893

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,034.21 / $2,318.00 / $7,212.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$969.77 / $1,034.21 / $1,434.50
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,310.00 / $6,340.00 / $15,727.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$961.40 / $1,408.40 / $1,943.59
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,006.15 / $1,308.00 / $1,509.23
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,006.15 / $1,207.38 / $1,509.23
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,140.62 / $4,140.62 / $4,908.29
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,056.77 / $1,449.84 / $2,322.14
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,472.00 / $10,113.00 / $15,750.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$926.13 / $1,212.58 / $2,144.07