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Kansas 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
$2,243.00 / $4,919.00 / $12,600.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,253.57 / $1,422.46 / $2,305.76
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$613.00 / $3,577.67 / $3,765.97
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,822.95 / $2,144.65 / $2,144.65
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$505.00 / $505.00 / $505.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,450.63 / $2,001.81 / $3,078.65
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,390.45 / $2,236.40 / $11,209.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,489.81 / $1,793.36 / $11,055.60
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,967.00 / $4,960.00 / $11,732.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,465.12 / $1,783.50 / $2,380.28