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Michigan rates for HCPCS 64896

Nerve Graft Mlt Strands Hand/Foot > 4 Cm

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,827.80 / $4,112.00 / $4,933.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,236.10 / $1,787.75 / $1,898.10
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,414.54 / $5,181.37 / $7,019.93
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$365.72 / $1,495.54 / $2,323.38
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,041.16 / $1,704.98 / $3,233.50
Health Alliance Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,750.77 / $4,112.00 / $4,933.00
Health Alliance Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,424.43 / $1,750.77 / $2,363.53
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$137.33 / $1,077.19 / $1,736.12
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,500.00 / $8,702.00 / $10,652.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,477.64 / $1,793.36 / $2,380.39