go back

Washington rates for HCPCS 64895

Nerve Graft Mlt Strands Hand/Foot <4 Cm

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,733.00 / $5,128.00 / $20,680.40
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,240.50 / $1,659.17 / $3,810.30
Asuris Northwest Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,433.20 / $18,458.89 / $36,111.08
Asuris Northwest Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,907.49 / $3,103.69 / $11,567.93
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$714.97 / $870.49 / $7,318.13
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,379.56 / $2,403.51 / $3,991.04
Kaiser Permanente
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,414.62 / $2,843.37 / $6,417.76
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,283.45 / $2,769.50 / $5,526.27
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$150.32 / $590.98 / $2,748.93
Pacific Source
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,931.70 / $2,569.31 / $2,667.64
Premera BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,777.12 / $1,809.40 / $5,433.20
Premera BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,032.08 / $2,903.02 / $3,604.82
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12,241.40 / $18,867.00 / $36,111.08
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,812.43 / $2,607.26 / $3,441.48
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,912.00 / $4,016.00 / $16,315.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,600.04 / $2,253.90 / $3,794.89
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,105.65 / $1,105.65 / $1,414.36