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Idaho 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
$2,884.03 / $4,466.84 / $5,495.41
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,258.93 / $1,778.28 / $3,467.37
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,511.89 / $6,456.54 / $17,378.01
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,344.23 / $2,691.53 / $2,818.38
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,715.35 / $3,715.35 / $3,715.35
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,445.44 / $1,949.84 / $2,511.89
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,380.38 / $2,290.87 / $4,265.80
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,137.96 / $2,454.71 / $3,235.94
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.36 / $32.36 / $33.11
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10,964.78 / $15,135.61 / $21,379.62
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,949.84 / $2,754.23 / $3,019.95
Select Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,174.90 / $1,621.81 / $10,964.78
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,089.30 / $10,232.93 / $27,542.29
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,584.89 / $2,137.96 / $3,019.95