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Pennsylvania 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
$1,148.15 / $3,890.45 / $8,317.64
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$977.24 / $1,148.15 / $2,691.53
Capital Blue Cross
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,456.54 / $7,585.78 / $57,543.99
Capital Blue Cross
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,122.02 / $1,174.90 / $2,089.30
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,905.46 / $1,905.46 / $1,905.46
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,000.00 / $1,380.38 / $2,238.72
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,202.26 / $1,621.81 / $2,089.30
Geisinger
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,023.29 / $1,348.96 / $2,187.76
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$954.99 / $2,691.53 / $8,317.64
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,023.29 / $1,513.56 / $3,311.31
Oscar Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,479.11 / $1,479.11 / $2,290.87
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,258.93 / $1,479.11 / $2,290.87
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$407.38 / $407.38 / $1,288.25
UPMC Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$407.38 / $1,047.13 / $1,148.15
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,344.23 / $4,365.16 / $10,964.78
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$933.25 / $1,348.96 / $2,137.96