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Wyoming 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
Professional
Modifier
Low / Median / High Price
$1,235.16 / $1,254.11 / $1,586.37
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,694.40 / $5,694.40 / $5,694.40
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,552.00 / $3,062.00 / $4,930.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,565.21 / $2,549.48 / $3,163.55
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,188.00 / $5,188.00 / $18,767.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,797.32 / $2,554.88 / $4,357.60