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Delaware 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
$4,736.00 / $4,736.00 / $6,907.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,218.66 / $1,279.90 / $1,279.90
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,389.76 / $3,389.76 / $3,389.76
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,129.04 / $1,390.19 / $2,423.60
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,530.00 / $2,530.00 / $2,530.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,066.66 / $1,295.34 / $3,037.28