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Texas 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
$895.00 / $3,219.00 / $11,453.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,072.80 / $1,265.76 / $2,155.34
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,292.00 / $8,649.15 / $16,251.58
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,163.18 / $1,467.76 / $2,006.27
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$80.00 / $1,114.67 / $1,142.69
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
$1,297.96 / $1,744.44 / $2,590.92
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,894.65 / $17,524.30 / $26,542.00
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9,082.56 / $9,269.60 / $10,833.83
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,204.09 / $1,554.99 / $2,487.85
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,548.99 / $1,858.79 / $2,304.89
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,331.33 / $1,480.42 / $2,170.52
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,204.09 / $1,560.19 / $2,535.62
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,301.94 / $1,778.62 / $2,675.53
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,093.00 / $6,002.00 / $13,237.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$992.83 / $1,374.07 / $2,164.50
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,057.60 / $1,204.09 / $1,665.47