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Idaho 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
$2,897.00 / $4,500.00 / $7,761.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,252.40 / $1,815.20 / $3,040.38
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,709.09 / $3,709.09 / $3,719.52
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,395.56 / $1,860.74 / $2,209.63
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,205.68 / $2,189.53 / $3,496.44
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,044.66 / $2,230.54 / $2,931.66
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.34 / $1,744.46 / $2,194.65
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,634.13 / $15,806.20 / $20,605.80
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,153.36 / $2,533.37 / $2,931.66
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,100.00 / $10,120.00 / $27,159.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,393.84 / $1,907.37 / $2,601.55