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Louisiana rates for HCPCS 64893

Nerve Graft 1 Strand Arm/Leg >4 Cm

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$580.00 / $1,648.47 / $3,685.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,012.64 / $1,648.47 / $1,823.55
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,009.01 / $8,487.19 / $12,665.76
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,223.88 / $1,499.50 / $1,934.48
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$40.00 / $40.00 / $992.12
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$725.00 / $725.00 / $725.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,080.34 / $1,494.70 / $1,982.65
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,141.00 / $4,717.00 / $11,696.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$970.82 / $1,321.72 / $2,359.66