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New Mexico 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
$1,000.00 / $7,838.38 / $8,763.29
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,111.68 / $1,217.30 / $5,979.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,256.98 / $1,865.03 / $2,442.38
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.34 / $32.34 / $1,983.32
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,216.76 / $1,541.22 / $2,000.00
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,269.25 / $1,948.32 / $3,110.01
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$899.00 / $11,259.00 / $28,009.61
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,384.60 / $1,854.50 / $2,928.60