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Idaho 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
$1,628.00 / $4,500.00 / $7,205.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$588.04 / $900.15 / $1,420.90
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$680.38 / $908.54 / $1,063.80
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$568.45 / $1,111.09 / $1,634.04
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$944.67 / $1,030.55 / $1,362.44
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.34 / $805.77 / $1,013.71
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$995.95 / $1,171.71 / $1,362.44
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$150.00 / $1,800.00 / $9,193.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$658.15 / $916.78 / $1,229.24