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West Virginia rates for HCPCS 64896

Nerve Graft Mlt Strands Hand/Foot > 4 Cm

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,316.99 / $1,400.00 / $2,193.79
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,287.31 / $1,457.36 / $2,374.71
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,512.52 / $1,698.92 / $1,851.01
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$844.17 / $1,645.34 / $1,645.34
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 / $2,031.18 / $4,863.30
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,011.54 / $1,589.57 / $2,286.10