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Michigan rates for HCPCS 64897

Nerve Graft Mlt Strands Arm/Leg <4 Cm

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,620.94 / $4,112.00 / $4,933.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,088.77 / $1,586.37 / $1,683.29
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,201.75 / $7,279.04 / $9,861.94
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$324.32 / $1,573.90 / $2,155.77
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$923.12 / $1,504.34 / $2,868.06
Health Alliance Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,365.05 / $4,112.00 / $4,933.00
Health Alliance Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,262.80 / $1,443.20 / $2,029.54
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$137.33 / $941.20 / $1,510.46
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,069.00 / $8,847.00 / $14,579.36
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,314.22 / $1,545.14 / $2,126.31