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Hawaii 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
$1,324.03 / $2,747.00 / $4,456.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,327.98 / $1,327.98 / $1,327.98
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,274.77 / $1,638.89 / $1,966.67
HMSA
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,728.37 / $1,891.52 / $2,233.16
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,442.22 / $1,573.33 / $1,835.55
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,912.00 / $2,912.00 / $2,912.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,337.33 / $1,638.89 / $2,116.42
University Health Alliance
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,161.00 / $2,575.00 / $6,124.00