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Oklahoma 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
$1,200.00 / $3,803.00 / $12,600.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,137.63 / $1,281.51 / $1,281.51
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8,666.79 / $13,768.47 / $21,754.02
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,980.81 / $4,980.81 / $4,980.81
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,515.41 / $1,965.89 / $2,559.69
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,281.51 / $2,064.81 / $8,753.15
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,270.30 / $1,641.81 / $11,055.60
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,481.00 / $5,910.00 / $9,232.95
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,195.58 / $1,494.47 / $2,081.73