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California rates for HCPCS 64897

Nerve graft (includes obtaining graft), multiple strands (cable), arm or leg; up to 4 cm length

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,090.30 / $7,585.78 / $18,197.01
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,122.02 / $1,445.44 / $6,760.83
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,570.88 / $8,128.31 / $15,848.93
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,348.96 / $2,041.74 / $3,890.45
Blue Shield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$66.07 / $4,073.80 / $10,715.19
Blue Shield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,230.27 / $1,737.80 / $3,388.44
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,025.60 / $6,025.60 / $6,025.60
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,202.26 / $1,584.89 / $3,235.94
Contra Costa Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$724.44 / $1,288.25 / $1,737.80
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,047.13 / $1,412.54 / $2,691.53
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$17,378.01 / $45,708.82 / $45,708.82
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9,120.11 / $10,715.19 / $10,715.19
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,819.70 / $1,819.70 / $1,819.70
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,230.27 / $1,548.82 / $2,454.71
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,174.90 / $1,621.81 / $3,235.94
Sutter Health Plus
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,073.80 / $4,073.80 / $4,073.80
The Alliance
Facility/Professional
Professional
Modifier
Low / Median / High Price
$933.25 / $1,174.90 / $1,584.89
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,760.83 / $12,302.69 / $25,703.96
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,000.00 / $1,318.26 / $2,691.53