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Nebraska 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
$4,083.97 / $8,477.27 / $19,276.96
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,286.50 / $1,286.50 / $7,455.11
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,810.78 / $8,958.04 / $17,327.75
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,241.39 / $2,116.00 / $2,821.32
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,634.43 / $4,634.43 / $4,634.43
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,171.26 / $3,153.02 / $4,244.22
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,286.50 / $2,305.76 / $8,632.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,730.50 / $2,861.97 / $4,024.64
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,684.86 / $3,244.99 / $5,870.28
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,177.00 / $2,994.11 / $4,244.22
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,178.00 / $7,441.00 / $8,816.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,730.50 / $2,861.97 / $3,558.38