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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
$2,897.00 / $4,500.00 / $7,761.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,413.43 / $2,201.73 / $3,428.52
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,709.09 / $3,709.09 / $3,719.52
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,573.79 / $2,172.56 / $2,499.44
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,359.38 / $2,507.02 / $3,942.80
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,305.66 / $2,515.27 / $3,305.33
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.34 / $1,967.11 / $2,474.75
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,634.13 / $15,806.20 / $20,605.80
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,428.69 / $2,857.29 / $3,305.33
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,100.00 / $10,120.00 / $27,159.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,573.57 / $2,194.73 / $3,064.34