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Iowa 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
$3,496.00 / $4,964.00 / $7,119.04
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,141.21 / $1,778.57 / $2,123.98
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,294.19 / $2,796.97 / $3,496.21
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,178.32 / $1,860.16 / $3,827.87
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,778.57 / $3,074.28 / $11,869.99
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,318.65 / $2,499.92 / $9,269.60
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,276.00 / $3,074.28 / $7,260.61
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,945.26 / $2,788.18 / $3,750.62
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,221.00 / $10,061.00 / $16,446.66
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,258.71 / $1,997.49 / $3,902.36
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,942.22 / $2,458.50 / $2,892.40