go back

Nebraska 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
$4,265.80 / $7,585.78 / $14,454.40
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,202.26 / $1,380.38 / $7,079.46
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,760.83 / $8,912.51 / $17,378.01
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,202.26 / $1,995.26 / $2,884.03
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,309.57 / $6,309.57 / $6,309.57
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,380.38 / $2,884.03 / $3,715.35
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,202.26 / $2,137.96 / $9,549.93
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,380.38 / $2,398.83 / $9,772.37
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,511.89 / $3,019.95 / $4,073.80
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,309.57 / $6,309.57 / $6,309.57
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,884.03 / $2,951.21 / $4,073.80
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,309.57 / $7,413.10 / $11,748.98
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,380.38 / $2,344.23 / $3,235.94