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Iowa rates for HCPCS 64901

Nerve Graft Each Nerve 1 Strand

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,906.00 / $4,235.59 / $7,119.04
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$528.00 / $825.30 / $912.32
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,121.97 / $1,326.18 / $1,594.23
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$546.47 / $942.01 / $1,763.94
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$825.30 / $1,313.87 / $1,775.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$625.07 / $1,184.30 / $4,282.72
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$953.00 / $1,359.33 / $1,762.81
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$857.53 / $1,288.19 / $1,762.81
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,204.00 / $1,640.00 / $2,126.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$593.82 / $906.10 / $1,843.51
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$897.36 / $1,135.90 / $1,336.30