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North Dakota 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
$1,310.75 / $1,310.75 / $8,500.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,240.50 / $1,268.38 / $1,347.15
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,633.39 / $2,896.86 / $3,396.72
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,585.27 / $3,167.16 / $4,218.66
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,310.75 / $1,619.35 / $2,228.28
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,385.84 / $2,447.27 / $3,383.86
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,385.84 / $2,447.27 / $3,048.85