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New Mexico 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
$1,000.00 / $7,838.38 / $8,763.29
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,162.23 / $1,274.08 / $6,194.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,332.71 / $1,950.74 / $2,551.67
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.34 / $32.34 / $2,074.17
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,237.56 / $1,582.62 / $2,067.91
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,334.14 / $2,067.92 / $3,256.09
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$899.00 / $11,259.00 / $16,897.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,382.40 / $1,938.51 / $3,023.10