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West Virginia 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
$1,222.65 / $1,400.00 / $2,033.76
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,194.59 / $1,353.02 / $2,220.62
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,402.36 / $1,575.00 / $1,715.99
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$782.63 / $1,525.32 / $1,525.32
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
$1,275.55 / $1,845.76 / $3,865.70
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,012.32 / $1,663.01 / $2,070.71