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Wyoming 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
Professional
Modifier
Low / Median / High Price
$1,291.01 / $1,313.52 / $1,659.17
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,694.40 / $5,694.40 / $5,694.40
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,668.00 / $3,202.00 / $5,153.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,638.10 / $2,668.76 / $3,306.68
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,188.00 / $5,188.00 / $18,767.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,466.05 / $2,674.67 / $4,525.31