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Alaska rates for HCPCS 64896

Nerve graft (includes obtaining graft), multiple strands (cable), hand or foot; more than 4 cm length

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,111.76 / $10,480.00 / $13,413.92
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,312.78 / $6,792.55 / $6,792.55
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,528.76 / $4,754.14 / $6,072.51
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,346.92 / $6,792.55 / $9,509.57
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,493.43 / $4,192.10 / $8,510.40
Premera BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,555.10 / $6,264.00 / $9,394.00
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,346.92 / $6,792.55 / $9,509.57
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,130.01 / $6,262.20 / $9,475.90
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,803.30 / $5,737.68 / $8,652.51