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New York 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
$1,609.94 / $4,574.00 / $10,686.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,221.58 / $1,506.39 / $2,902.36
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,046.00 / $7,264.00 / $12,538.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$984.79 / $1,287.31 / $3,138.17
CDPHP
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,869.39 / $1,990.00 / $8,917.50
CDPHP
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,869.39 / $1,869.39 / $1,869.39
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,498.38 / $1,498.38 / $1,498.38
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,241.13 / $2,028.68 / $5,608.12
Emblem Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$332.00 / $1,685.00 / $3,512.72
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,436.81 / $2,038.30 / $3,013.14
Excellus BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,233.84 / $1,233.84 / $1,233.84
Excellus BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,074.59 / $1,299.83 / $2,777.58
MVP Health Care
Facility/Professional
Facility
Modifier
Low / Median / High Price
$555.00 / $597.00 / $36,596.00
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,345.29 / $2,055.35 / $5,235.93
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,264.00 / $5,963.00 / $15,611.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,182.56 / $1,830.24 / $4,151.64
Univera
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,529.22 / $1,529.22 / $5,560.87
Univera
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,074.59 / $1,600.98 / $3,328.39