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West Virginia 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
$1,166.91 / $1,400.00 / $1,944.29
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,142.04 / $1,293.28 / $2,123.98
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,340.85 / $1,505.71 / $1,640.49
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$748.18 / $1,458.22 / $1,458.22
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
$1,219.72 / $1,822.77 / $3,622.31
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$17,954.88 / $17,954.88 / $17,954.88
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$970.22 / $1,395.81 / $2,042.43