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Maryland 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
Professional
Modifier
Low / Median / High Price
$1,163.85 / $1,293.28 / $3,329.12
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,383.65 / $1,383.65 / $2,490.58
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$507.00 / $518.54 / $2,916.94
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,146.13 / $1,655.89 / $2,771.71
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,319.94 / $1,714.62 / $2,223.06
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$847.00 / $847.00 / $1,560.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$997.79 / $1,499.71 / $2,726.84
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,182.99 / $1,528.53 / $1,876.49