go back

Wyoming 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
Professional
Modifier
Low / Median / High Price
$1,392.50 / $1,414.91 / $1,787.75
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,694.40 / $5,694.40 / $5,694.40
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,878.00 / $3,454.00 / $5,558.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,905.09 / $2,874.95 / $3,567.05
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,188.00 / $5,188.00 / $18,767.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,596.84 / $2,884.33 / $5,327.39