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Wyoming rates for HCPCS 64893

Nerve graft (includes obtaining graft), single strand, arm or leg; more than 4 cm length

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,095.26 / $1,109.56 / $1,405.75
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,694.40 / $5,694.40 / $5,694.40
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,261.00 / $2,713.00 / $4,368.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,386.33 / $2,257.48 / $2,806.32
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,188.00 / $5,188.00 / $18,767.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,284.20 / $2,257.44 / $3,815.50