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Maryland rates for HCPCS 64893

Nerve Graft 1 Strand Arm/Leg >4 Cm

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,029.82 / $1,147.18 / $2,949.98
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,260.99 / $1,260.99 / $1,450.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$445.00 / $453.73 / $2,916.94
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,015.38 / $1,471.78 / $2,454.19
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,170.68 / $1,519.01 / $1,971.66
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$847.00 / $847.00 / $1,560.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$879.05 / $1,315.49 / $2,339.42
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,065.90 / $1,354.16 / $1,662.66