go back

Alaska rates for HCPCS 64897

Nerve Graft Mlt Strands Arm/Leg <4 Cm

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,741.00 / $10,480.00 / $13,413.92
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,163.85 / $6,021.25 / $6,021.25
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,127.65 / $4,209.54 / $5,387.23
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,194.24 / $6,021.25 / $8,429.75
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,097.98 / $3,717.57 / $7,547.07
Premera BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,034.80 / $5,555.13 / $7,344.00
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,194.24 / $6,021.25 / $8,429.75
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,887.53 / $5,555.13 / $8,390.52
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,246.90 / $5,080.43 / $7,661.38