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Massachusetts 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
$1,758.00 / $2,663.12 / $4,410.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,128.20 / $1,318.50 / $2,123.98
AllWays Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,939.00 / $5,097.00 / $15,169.65
AllWays Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,208.40 / $2,133.28 / $9,082.56
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,373.37 / $2,055.33 / $3,449.18
Fallon Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,253.17 / $2,020.86 / $6,679.00
Fallon Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,438.01 / $1,741.91 / $2,371.14
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,569.18 / $3,110.74 / $4,936.39
Mass General Brigham
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,324.00 / $5,894.65 / $26,542.00
Mass General Brigham
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,323.77 / $2,301.79 / $9,082.56
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,324.00 / $6,280.00 / $18,529.43
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,389.96 / $2,103.79 / $3,982.58