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Washington, DC rates for HCPCS 64901

Nerve Graft Each Nerve 1 Strand

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,017.00 / $3,575.00 / $4,601.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$594.65 / $594.65 / $594.65
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$596.00 / $663.18 / $1,575.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$540.84 / $1,025.69 / $1,514.25
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$636.29 / $1,321.32 / $1,321.32
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$165.00 / $442.00 / $5,940.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$492.88 / $808.93 / $1,563.94