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Louisiana 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
$762.00 / $1,958.00 / $3,945.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,207.48 / $1,956.07 / $2,165.14
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,009.01 / $8,487.19 / $12,665.76
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,446.22 / $1,771.04 / $2,332.67
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$40.00 / $40.00 / $1,164.43
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,200.00 / $1,200.00 / $1,200.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,275.55 / $1,738.98 / $2,355.08
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,141.00 / $4,717.00 / $11,696.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,132.41 / $1,566.00 / $2,801.68