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Alaska rates for HCPCS 64895

Nerve graft (includes obtaining graft), multiple strands (cable), hand or foot; up to 4 cm length

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,816.46 / $10,480.00 / $13,413.92
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,218.66 / $6,304.72 / $6,304.72
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,275.18 / $4,409.60 / $5,636.95
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,248.79 / $6,304.72 / $8,826.61
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,238.70 / $3,886.44 / $7,889.85
Premera BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,224.00 / $5,813.85 / $7,784.00
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,248.79 / $6,304.72 / $8,826.61
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,975.22 / $5,813.85 / $8,785.83
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,527.68 / $5,321.88 / $8,025.47