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Michigan 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
$1,434.50 / $2,877.00 / $4,933.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$963.38 / $1,405.75 / $1,489.67
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,084.76 / $5,968.01 / $8,085.70
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$278.87 / $1,098.58 / $1,879.95
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$817.87 / $1,333.73 / $2,538.40
Health Alliance Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,201.03 / $2,877.00 / $4,933.00
Health Alliance Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,117.42 / $1,277.05 / $1,794.99
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$102.86 / $854.94 / $1,354.69
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,500.00 / $8,702.00 / $10,652.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,137.14 / $1,345.75 / $1,880.14