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New Jersey 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
$4,466.84 / $6,918.31 / $10,964.78
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,096.48 / $1,288.25 / $4,786.30
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,148.15 / $1,905.46 / $4,570.88
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,174.90 / $1,445.44 / $1,995.26
Horizon BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$14,125.38 / $21,877.62 / $38,904.51
Horizon BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,148.15 / $1,621.81 / $5,370.32
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,570.88 / $9,120.11 / $21,379.62
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$794.33 / $1,445.44 / $2,884.03