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New York 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
$1,723.30 / $4,648.00 / $10,686.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,316.19 / $1,622.78 / $3,126.24
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,046.00 / $7,264.00 / $12,538.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,062.14 / $1,388.42 / $3,567.48
CDPHP
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,990.00 / $2,014.06 / $8,917.50
CDPHP
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,014.06 / $2,014.06 / $2,014.06
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,616.23 / $1,616.23 / $1,616.23
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,375.92 / $2,185.44 / $6,040.39
Emblem Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$332.00 / $1,875.00 / $3,789.99
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,549.64 / $2,199.03 / $3,250.97
Excellus BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,330.74 / $1,330.74 / $1,330.74
Excellus BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,154.93 / $1,649.51 / $2,996.07
MVP Health Care
Facility/Professional
Facility
Modifier
Low / Median / High Price
$555.00 / $597.00 / $36,596.00
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,450.66 / $2,244.13 / $5,771.99
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,264.00 / $5,963.00 / $15,611.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,275.19 / $1,993.58 / $4,523.76
Univera
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,649.51 / $1,649.51 / $6,093.75
Univera
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,176.90 / $1,824.71 / $3,590.21