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New Mexico 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
$1,000.00 / $7,838.38 / $8,763.29
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,253.57 / $1,372.56 / $7,191.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,424.03 / $2,210.52 / $2,994.15
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.34 / $32.34 / $2,237.32
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,329.54 / $1,681.13 / $2,283.37
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,524.50 / $2,289.26 / $3,507.58
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$899.00 / $11,259.00 / $16,897.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,533.13 / $2,153.32 / $3,346.20