go back

Tennessee 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
$1,223.27 / $2,678.00 / $7,602.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,162.23 / $1,391.81 / $2,037.25
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,367.00 / $5,486.00 / $9,272.00
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,289.55 / $1,732.95 / $2,656.58
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$30.00 / $30.00 / $30.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,338.06 / $1,749.64 / $2,763.35
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,930.12 / $17,524.30 / $26,542.00
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9,496.56 / $9,692.08 / $11,323.88
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,905.00 / $6,073.00 / $10,287.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,195.15 / $1,505.51 / $2,735.86