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Florida 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
$1,079.60 / $3,401.00 / $11,481.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,079.61 / $1,236.57 / $1,641.02
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$494.00 / $3,079.63 / $3,666.22
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,048.56 / $1,639.27 / $2,641.67
Florida Blue
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,979.00 / $12,804.00 / $23,031.00
Florida Blue
Facility/Professional
Professional
Modifier
Low / Median / High Price
$590.40 / $1,198.88 / $1,455.40
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$143.71 / $1,016.20 / $1,665.11
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,581.00 / $10,309.00 / $15,888.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$942.57 / $1,343.75 / $2,472.21
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$978.15 / $978.15 / $1,182.99