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Nebraska 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
$4,083.97 / $8,477.27 / $19,276.96
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,141.21 / $1,141.21 / $6,606.12
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,810.78 / $8,958.04 / $17,327.75
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,100.91 / $1,876.55 / $2,502.07
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,634.43 / $4,634.43 / $4,634.43
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,842.00 / $2,796.97 / $3,750.62
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,141.21 / $2,045.15 / $8,632.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,533.18 / $2,535.65 / $3,490.95
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,500.98 / $2,867.60 / $7,145.13
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,945.26 / $2,622.45 / $3,750.62
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,178.00 / $8,152.95 / $9,480.17
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,533.18 / $2,618.19 / $3,302.24