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Missouri 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
$1,359.84 / $4,261.00 / $8,000.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,103.47 / $1,320.61 / $2,140.06
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,088.00 / $4,247.00 / $9,663.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,223.00 / $1,558.29 / $2,416.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,311.35 / $1,751.80 / $2,857.88
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,213.82 / $1,980.92 / $17,524.30
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,351.16 / $2,139.67 / $9,692.08
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,858.00 / $4,000.00 / $10,781.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,262.32 / $1,850.81 / $2,871.71