go back

Oklahoma 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
$1,000.00 / $2,630.27 / $6,606.93
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,000.00 / $1,122.02 / $2,290.87
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,071.52 / $1,348.96 / $1,548.82
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,011.87 / $5,011.87 / $5,011.87
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,174.90 / $1,479.11 / $1,905.46
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,023.29 / $1,995.26 / $10,232.93
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$954.99 / $1,288.25 / $8,128.31
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,513.56 / $5,495.41 / $10,232.93
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$891.25 / $1,148.15 / $1,548.82