go back

California 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
$2,511.89 / $6,456.54 / $16,982.44
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$524.81 / $691.83 / $3,090.30
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,630.78 / $6,165.95 / $13,489.63
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$812.83 / $1,096.48 / $1,995.26
Blue Shield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$64.57 / $100.00 / $8,128.31
Blue Shield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$645.65 / $912.01 / $1,737.80
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$588.84 / $758.58 / $1,479.11
Contra Costa Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$478.63 / $549.54 / $741.31
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$467.74 / $616.60 / $1,348.96
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,630.78 / $3,630.78 / $28,840.32
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,168.69 / $5,011.87 / $5,011.87
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$851.14 / $851.14 / $851.14
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$512.86 / $676.08 / $1,122.02
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$575.44 / $758.58 / $1,479.11
Sutter Health Plus
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,905.46 / $1,905.46 / $1,905.46
The Alliance
Facility/Professional
Professional
Modifier
Low / Median / High Price
$478.63 / $676.08 / $1,023.29
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$588.84 / $1,584.89 / $6,456.54
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$457.09 / $630.96 / $1,258.93