go back

Indiana rates for HCPCS 64898

Nerve graft (includes obtaining graft), multiple strands (cable), arm or leg; more than 4 cm length

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,263.83 / $4,846.00 / $16,650.45
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,183.16 / $1,263.83 / $1,674.38
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,309.00 / $7,200.00 / $15,727.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,165.48 / $1,650.90 / $2,278.23
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,229.50 / $1,598.35 / $1,844.25
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,229.50 / $1,475.40 / $1,844.25
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,140.62 / $4,140.62 / $4,908.29
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,292.64 / $1,726.68 / $2,816.37
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,472.00 / $10,113.00 / $15,750.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,133.30 / $1,493.74 / $2,627.20