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New York 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
$1,550.42 / $4,452.00 / $10,686.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,166.77 / $1,438.97 / $3,469.02
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,046.00 / $7,264.00 / $12,538.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$916.84 / $1,198.49 / $3,004.85
CDPHP
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,786.17 / $1,990.00 / $8,917.50
CDPHP
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,786.17 / $1,786.17 / $1,786.17
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,432.52 / $1,432.52 / $1,432.52
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,199.91 / $1,981.36 / $5,351.72
Emblem Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$332.00 / $1,685.00 / $3,360.85
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,374.23 / $1,950.09 / $2,882.86
Excellus BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,180.09 / $1,180.09 / $1,180.09
Excellus BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,031.78 / $1,462.55 / $2,656.48
MVP Health Care
Facility/Professional
Facility
Modifier
Low / Median / High Price
$555.00 / $597.00 / $36,596.00
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,285.06 / $1,981.36 / $5,048.08
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,337.00 / $7,395.00 / $18,242.15
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,129.61 / $1,735.59 / $3,907.11
Univera
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,462.55 / $1,462.55 / $5,546.56
Univera
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,052.18 / $1,618.15 / $3,183.28