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Michigan 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
$1,697.14 / $4,112.00 / $6,906.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,140.03 / $1,659.17 / $1,762.41
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,414.54 / $5,181.37 / $7,019.93
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$356.00 / $1,558.13 / $2,293.57
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$965.32 / $1,576.77 / $3,000.68
Health Alliance Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,426.12 / $4,112.00 / $6,906.00
Health Alliance Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,320.53 / $1,509.18 / $2,122.17
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$137.33 / $978.06 / $1,585.21
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,500.00 / $8,702.00 / $10,652.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,350.26 / $1,566.00 / $2,197.73