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Ohio 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
$1,577.69 / $5,355.00 / $10,817.74
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,079.61 / $1,235.16 / $2,392.84
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,084.00 / $4,437.00 / $19,117.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$981.42 / $1,333.35 / $2,118.90
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,122.33 / $1,224.36 / $1,782.85
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,260.19 / $1,320.40 / $1,680.50
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$21,571.00 / $21,571.00 / $21,571.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,206.32 / $1,681.63 / $2,369.83
Medical Mutual of Ohio
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,432.52 / $1,432.52 / $1,432.52
Medical Mutual of Ohio
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,260.38 / $1,740.53 / $2,369.83
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$144.50 / $962.94 / $1,547.33
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,206.00 / $6,392.00 / $10,989.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,019.30 / $1,599.98 / $2,468.19