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Pennsylvania rates for HCPCS 64893

Nerve Graft 1 Strand Arm/Leg >4 Cm

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,058.00 / $2,675.00 / $8,017.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$963.38 / $1,117.32 / $1,744.56
Capital Blue Cross
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,431.95 / $7,827.00 / $19,139.18
Capital Blue Cross
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,120.75 / $1,163.04 / $2,067.51
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,268.11 / $1,268.11 / $1,268.11
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,049.29 / $1,406.78 / $2,246.19
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,319.57 / $1,791.15 / $2,279.26
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,013.00 / $2,679.00 / $8,017.00
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$974.28 / $1,273.75 / $2,843.00
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,269.80 / $1,269.80 / $2,285.40
Priority Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,268.11 / $1,268.11 / $1,268.11
Priority Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,057.31 / $1,427.37 / $2,254.92
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,093.72 / $1,093.72 / $1,296.18
UPMC Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,056.91 / $1,102.41 / $1,296.18
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,332.00 / $3,879.00 / $7,508.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,127.41 / $1,466.86 / $2,245.04