go back

Oklahoma rates for HCPCS 64897

Nerve Graft Mlt Strands Arm/Leg <4 Cm

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,123.93 / $3,803.00 / $12,600.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,008.81 / $1,136.02 / $1,136.02
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,980.81 / $4,980.81 / $4,980.81
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,330.12 / $1,676.53 / $2,118.79
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,136.02 / $1,809.36 / $8,753.15
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,125.20 / $1,444.80 / $9,269.60
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,481.00 / $5,973.00 / $10,836.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,059.02 / $1,323.77 / $1,846.14