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Alaska rates for HCPCS 64901

Nerve graft, each additional nerve; single strand (List separately in addition to code for primary procedure)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,872.00 / $8,303.41 / $13,413.92
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$544.82 / $2,840.83 / $2,840.83
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,485.77 / $2,016.16 / $2,493.11
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$554.69 / $2,840.83 / $3,977.16
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,431.33 / $1,717.59 / $3,486.90
Premera BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,905.20 / $2,578.38 / $3,488.00
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$554.69 / $2,840.83 / $3,977.16
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$888.61 / $2,598.00 / $3,985.04
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,612.92 / $2,433.26 / $3,669.39