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Connecticut rates for HCPCS 64901

Nerve Graft Each Nerve 1 Strand

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,411.00 / $5,194.00 / $8,031.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$496.86 / $652.32 / $1,493.45
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,734.00 / $5,786.00 / $7,714.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$521.04 / $1,034.13 / $1,450.11
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$737.00 / $737.00 / $737.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$778.96 / $1,069.88 / $1,665.88
ConnectiCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,458.67 / $2,935.00 / $2,995.00
ConnectiCare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$504.29 / $863.96 / $1,112.23
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,380.00 / $3,075.00 / $6,664.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$531.30 / $1,040.74 / $1,801.67