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Indiana 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
$1,221.58 / $3,000.00 / $11,093.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,160.39 / $1,221.58 / $1,618.66
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,309.00 / $7,200.00 / $15,727.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,098.83 / $1,598.40 / $2,205.79
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,187.07 / $1,543.19 / $1,780.61
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,187.07 / $1,424.48 / $1,780.61
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,140.62 / $4,140.62 / $4,908.29
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,248.65 / $1,657.18 / $2,669.86
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,472.00 / $10,113.00 / $15,750.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,086.58 / $1,427.42 / $2,563.80