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Oklahoma 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
$1,122.02 / $3,467.37 / $6,760.83
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,122.02 / $1,258.93 / $2,570.40
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,011.87 / $5,011.87 / $5,011.87
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,318.26 / $1,659.59 / $2,137.96
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,174.90 / $2,187.76 / $10,232.93
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,071.52 / $1,445.44 / $9,332.54
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,621.81 / $5,754.40 / $10,715.19
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,023.29 / $1,288.25 / $1,737.80