go back

South Carolina 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
$3,388.44 / $9,120.11 / $16,595.87
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,096.48 / $1,412.54 / $2,238.72
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,388.44 / $7,943.28 / $15,135.61
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,148.15 / $1,548.82 / $2,290.87
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$575.44 / $891.25 / $2,137.96
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,318.26 / $1,659.59 / $2,691.53
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,041.74 / $2,041.74 / $2,884.03
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,230.27 / $1,659.59 / $2,818.38
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.36 / $33.11 / $33.11
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,630.78 / $17,378.01 / $26,302.68
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,047.13 / $1,318.26 / $2,187.76