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Louisiana 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
$762.00 / $1,950.08 / $3,945.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,150.48 / $1,867.77 / $2,067.08
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,009.01 / $8,487.19 / $12,665.76
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,382.64 / $1,693.40 / $2,197.31
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$40.00 / $40.00 / $1,114.67
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,200.00 / $1,200.00 / $1,200.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,219.72 / $1,691.53 / $2,248.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,172.00 / $6,245.00 / $14,045.02
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,085.49 / $1,483.25 / $2,674.80